| LCA CASE NUMBER | I-200-17114-371457 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/24/2017 |
| DECISION DATE | 4/28/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/17/2017 |
| EMPLOYMENT END DATE | 10/16/2020 |
| LCA CASE EMPLOYER NAME | HIAWATHA COMMUNITY HOSPITAL |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 300 UTAH STREET |
| EMPLOYER CITY | HIAWATHA |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 66434 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7857422131 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | COOK, KEVIN |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 621511 |
| 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 | 41,787.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 47,840.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | HIAWATHA |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66434 |
