| LCA CASE NUMBER | I-200-17083-765360 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/24/2017 |
| DECISION DATE | 3/30/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/23/2017 |
| EMPLOYMENT END DATE | 9/22/2020 |
| LCA CASE EMPLOYER NAME | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 111 S 5TH STREET |
| EMPLOYER CITY | DOUGLAS |
| EMPLOYER STATE | WY |
| EMPLOYER POSTAL CODE | 82633 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3073582122 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BROWN, DAVID |
| AGENT ATTORNEY CITY | LINCOLN |
| 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 | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 29.14 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 29.15 |
| LCA CASE WAGE RATE TO | 31.15 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | DOUGLAS |
| WORKSITE COUNTY | CONVERSE |
| LCA CASE WORKLOC1 STATE | WY |
| WORKSITE POSTAL CODE | 82633 |
