| LCA CASE NUMBER | I-200-20093-455409 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-02 |
| DECISION DATE | 2020-04-09 |
| 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 | 2020-09-30 |
| END DATE | 2023-09-29 |
| 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 | West Louisiana Health Services Inc |
| TRADE NAME DBA | Beauregard Memorial Hospital |
| EMPLOYER ADDRESS1 | 600 South Pine St |
| EMPLOYER ADDRESS2 | PO Box 730 |
| EMPLOYER CITY | Deridder |
| EMPLOYER STATE | LA |
| EMPLOYER POSTAL CODE | 70634 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13374627100 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Broocks |
| EMPLOYER POC FIRST NAME | Kelli |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | VP of Corporate Development |
| EMPLOYER POC ADDRESS1 | 600 South Pine |
| EMPLOYER POC ADDRESS2 | PO Box 730 |
| EMPLOYER POC CITY | Deridder |
| EMPLOYER POC STATE | LA |
| EMPLOYER POC POSTAL CODE | 70634 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13374627155 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Gates |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Rosello |
| AGENT ATTORNEY ADDRESS1 | 552 Tompkins Ave |
| AGENT ATTORNEY CITY | Staten Island |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10305 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17189816112.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Balahadia & Gates PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 600 South Pine St |
| LCA CASE WORKLOC1 CITY | Deridder |
| WORKSITE COUNTY | BEAUREGARD |
| LCA CASE WORKLOC1 STATE | LA |
| WORKSITE POSTAL CODE | 70634 |
| LCA CASE WAGE RATE FROM | 29.62 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 26.4 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| 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 |
