| LCA CASE NUMBER | I-200-20168-655846 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-16 |
| DECISION DATE | 2020-06-23 |
| 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 | 2020-11-06 |
| END DATE | 2023-11-05 |
| 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 | 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 | 18085895185 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | UEOKA |
| AGENT ATTORNEY FIRST NAME | ROBERT |
| AGENT ATTORNEY MIDDLE NAME | ARTHUR |
| AGENT ATTORNEY ADDRESS1 | 1000 BISHOP STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 503 |
| AGENT ATTORNEY CITY | HONOLULU |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18085373500.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | BISHOP STREET LAW GROUP |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE STATE OF HAWAII |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 590 SOUTH MARINE CORPS DRIVE |
| WORKSITE ADDRESS2 | SUITE 105 |
| LCA CASE WORKLOC1 CITY | TAMUNING |
| WORKSITE COUNTY | TAMUNING |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96913 |
| LCA CASE WAGE RATE FROM | 23.23 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.45 |
| 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 | UEOKA |
| PREPARER FIRST NAME | ROBERT |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | BISHOP STREET LAW GROUP |
| PREPARER EMAIL | [email protected] |
