| LCA CASE NUMBER | I-200-18074-937429 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/15/18 |
| DECISION DATE | 3/21/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/11/18 |
| EMPLOYMENT END DATE | 9/10/21 |
| LCA CASE EMPLOYER NAME | PREMIUM HEALTH, INC. |
| EMPLOYER BUSINESS DBA | PREMIUM HEALTH CENTER |
| EMPLOYER ADDRESS | 620 FOSTER AVENUE |
| EMPLOYER CITY | BROOKLYN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11230 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7184077300 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SUN, YU |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | MEDICAL TECHNICIAN |
| SOC CODE | 29-2012 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNICIANS |
| NAICS CODE | 621491 |
| 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 | 18.07 |
| 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 | 20.00 |
| 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 | BROOKLYN |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11230 |
