| LCA CASE NUMBER | I-200-20100-474491 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-09 |
| DECISION DATE | 2020-04-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist |
| 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 | Rocky Mountain Diabetes Center |
| EMPLOYER ADDRESS1 | 3910 Washington Parkway |
| EMPLOYER CITY | Idaho Falls |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83404 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12085231122 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Crofts |
| EMPLOYER POC FIRST NAME | Von |
| EMPLOYER POC MIDDLE NAME | David |
| EMPLOYER POC JOB TITLE | General Manager |
| EMPLOYER POC ADDRESS1 | 3910 Washington Parkway |
| EMPLOYER POC CITY | Idaho Falls |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83404 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12085289622 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Crofts |
| AGENT ATTORNEY FIRST NAME | Jason |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 600 Peachtree Street NE |
| AGENT ATTORNEY ADDRESS2 | Suite 4200 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30308 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14048565493.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3910 Washington Parkway |
| LCA CASE WORKLOC1 CITY | Idaho Falls |
| WORKSITE COUNTY | BONNEVILLE |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83404 |
| LCA CASE WAGE RATE FROM | 40000.0 |
| LCA CASE WAGE RATE TO | 100000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 27082.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
