| LCA CASE NUMBER | I-200-20038-306625 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-07 |
| DECISION DATE | 2020-02-14 |
| 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 | 2020-08-01 |
| END DATE | 2023-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MEDICINE LODGE MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS1 | 701 N. WALNUT |
| EMPLOYER CITY | MEDICINE LODGE |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16208863771 |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | DAVIS |
| EMPLOYER POC FIRST NAME | JOHNNIE |
| EMPLOYER POC JOB TITLE | HR DIRECTOR |
| EMPLOYER POC ADDRESS1 | 701 N. WALNUT |
| EMPLOYER POC CITY | MEDICINE LODGE |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16208863771 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Ford |
| AGENT ATTORNEY FIRST NAME | Jordan |
| AGENT ATTORNEY ADDRESS1 | 1400 Terradyne Drive, Ste. 211 |
| AGENT ATTORNEY CITY | Andover |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 67002 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19132740740.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | JORDAN FORD ESQ. |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | KS |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 701 N. WALNUT |
| LCA CASE WORKLOC1 CITY | MEDICINE LODGE |
| WORKSITE COUNTY | BARBER |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 61704 |
| LCA CASE WAGE RATE FROM | 21.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.91 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 and Employment |
| PREPARER LAST NAME | Ford |
| PREPARER FIRST NAME | Jordan |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | JORDAN FORD ESQ. |
| PREPARER EMAIL | [email protected] |
