| LCA CASE NUMBER | I-200-20083-426999 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-23 |
| DECISION DATE | 2020-03-30 |
| 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 | 2020-09-19 |
| END DATE | 2023-09-19 |
| 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 | Davis County Hospital |
| EMPLOYER ADDRESS1 | 509 North Madison Street |
| EMPLOYER CITY | Bloomfield |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 52537 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16416642145 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Young |
| EMPLOYER POC FIRST NAME | Pamela |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 509 North Madison Street |
| EMPLOYER POC CITY | Bloomfield |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 52537 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16416642145 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Chesser |
| AGENT ATTORNEY FIRST NAME | Lori |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 215 10th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1300 |
| AGENT ATTORNEY CITY | Des Moines |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15152882500.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Davis Brown Law Firm |
| STATE OF HIGHEST COURT | IA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Iowa |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 509 North Madison Street |
| LCA CASE WORKLOC1 CITY | Bloomfield |
| WORKSITE COUNTY | DAVIS |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 52537 |
| LCA CASE WAGE RATE FROM | 22.85 |
| LCA CASE WAGE RATE TO | 34.28 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.88 |
| 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 | Chesser |
| PREPARER FIRST NAME | Lori |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | Davis Brown Law Firm |
| PREPARER EMAIL | [email protected] |