| LCA CASE NUMBER | I-200-20099-470011 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-08 |
| DECISION DATE | 2020-04-15 |
| 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 | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Riverton Memorial Hospital, LLC |
| TRADE NAME DBA | SageWest Health Care |
| EMPLOYER ADDRESS1 | 2100 West Sunset |
| EMPLOYER CITY | Riverton |
| EMPLOYER STATE | WY |
| EMPLOYER POSTAL CODE | 82501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13078573465 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hamilton |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 2100 West Sunset |
| EMPLOYER POC CITY | Riverton |
| EMPLOYER POC STATE | WY |
| EMPLOYER POC POSTAL CODE | 82501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13073356509 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1320 Bishop Randall Drive |
| LCA CASE WORKLOC1 CITY | Lander |
| WORKSITE COUNTY | FREMONT |
| LCA CASE WORKLOC1 STATE | WY |
| WORKSITE POSTAL CODE | 82520 |
| LCA CASE WAGE RATE FROM | 22.3 |
| LCA CASE WAGE RATE TO | 23.82 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 22.3 |
| PW UNIT OF PAY | Hour |
| 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 Business |
| PREPARER LAST NAME | Burk (95746) |
| PREPARER FIRST NAME | Kelsey |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| PREPARER EMAIL | [email protected] |
