| LCA CASE NUMBER | I-200-19339-181942 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-05 |
| DECISION DATE | 2019-12-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-11 |
| END DATE | 2022-12-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | COMMUNITY HOSPITAL |
| EMPLOYER ADDRESS1 | 901 MACARTHUR BLVD. |
| EMPLOYER CITY | MUNSTER |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46321 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +12198366727 |
| EMPLOYER PHONE EXT | 1467.0 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Brandt |
| EMPLOYER POC FIRST NAME | Debbie |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 901 MACARTHUR BLVD. |
| EMPLOYER POC CITY | MUNSTER |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46321 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +12198366727 |
| EMPLOYER POC PHONE EXT | 1467.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | REES |
| AGENT ATTORNEY FIRST NAME | BRENT |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 5080 SPECTRUM DRIVE |
| AGENT ATTORNEY ADDRESS2 | 850W |
| AGENT ATTORNEY CITY | ADDISON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14697910350.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 901 MacArthur Blvd. |
| LCA CASE WORKLOC1 CITY | Munster |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46321 |
| LCA CASE WAGE RATE FROM | 61755.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 35214.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sharafi-Roumi |
| PREPARER FIRST NAME | Ziba |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
