| LCA CASE NUMBER | I-200-17031-404313 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/6/2017 |
| DECISION DATE | 4/12/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/5/2017 |
| EMPLOYMENT END DATE | 7/4/2020 |
| LCA CASE EMPLOYER NAME | MAHASKA COUNTY HOSPITAL |
| EMPLOYER BUSINESS DBA | MAHASKA HEALTH PARTNERSHIP |
| EMPLOYER ADDRESS | 1229 C AVENUE EAST |
| EMPLOYER CITY | OSKALOOSA |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 52577 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6416723100 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | ERLBACHER-ANDERSON, AMY |
| AGENT ATTORNEY CITY | OMAHA |
| AGENT ATTORNEY STATE | NE |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 23.50 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 25.86 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | OSKALOOSA |
| WORKSITE COUNTY | MAHASKA |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 52577 |
