| LCA CASE NUMBER | I-200-20092-450344 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-31 |
| DECISION DATE | 2020-04-07 |
| 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 | 2020-04-15 |
| END DATE | 2023-04-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | DIAGNOSTIC LABORATORY SERVICES, INC |
| TRADE NAME DBA | DIAGNOSTIC LABORATORY SERVICES |
| EMPLOYER ADDRESS1 | 99-859 IWAIWA STREET |
| EMPLOYER CITY | AIEA |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18085895100 |
| NAICS CODE | 62151 |
| EMPLOYER POC LAST NAME | WASIELEWSKI |
| EMPLOYER POC FIRST NAME | MARK |
| EMPLOYER POC MIDDLE NAME | ALAN |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 99-859 Iwaiwa Street |
| EMPLOYER POC CITY | Aiea |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18085895100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KONDAS |
| AGENT ATTORNEY FIRST NAME | MARK |
| AGENT ATTORNEY MIDDLE NAME | EDWARD |
| AGENT ATTORNEY ADDRESS1 | Francisco Javier Drive |
| AGENT ATTORNEY ADDRESS2 | SUITE 903 DNA BUILDING |
| AGENT ATTORNEY CITY | Agana Heights |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16714779084.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | BAUMANN, KONDAS AND XU, LLC |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF GUAM |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | ITC BUILDING SUITE 105 |
| WORKSITE ADDRESS2 | 590 S. MARINE CORP DRIVE |
| LCA CASE WORKLOC1 CITY | TAMINING |
| WORKSITE COUNTY | TAMUNING |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96913 |
| LCA CASE WAGE RATE FROM | 40456.0 |
| LCA CASE WAGE RATE TO | 47132.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 40456.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | KONDAS |
| PREPARER FIRST NAME | MARK |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | BAUMANN KONDAS AND XU LLC |
| PREPARER EMAIL | [email protected] |
