| LCA CASE NUMBER | I-200-18039-285909 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/8/18 |
| DECISION DATE | 2/15/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 3/2/18 |
| EMPLOYMENT END DATE | 3/1/19 |
| LCA CASE EMPLOYER NAME | GOUVERNEUR HOSPITAL |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 77 W. BARNEY STREET |
| EMPLOYER CITY | GOUVERNEUR |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13642 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3152615010 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PREMO, KSENIYA |
| AGENT ATTORNEY CITY | SYRACUSE |
| AGENT ATTORNEY STATE | NY |
| 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 | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 21.90 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 25.75 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | GOUVERNEUR |
| WORKSITE COUNTY | ST. LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13642 |
