| LCA CASE NUMBER | I-200-20190-703290 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-08 |
| DECISION DATE | 2020-07-15 |
| 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 | 2020-07-13 |
| END DATE | 2023-07-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Geisinger Jersey Shore Hospital |
| EMPLOYER ADDRESS1 | 100 N ACADEMY AVE |
| EMPLOYER CITY | DANVILLE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17822-9800 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15702717003 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | McKinney |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC JOB TITLE | Director, Talent Management |
| EMPLOYER POC ADDRESS1 | 100 N ACADEMY AVE |
| EMPLOYER POC CITY | DANVILLE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17822-9800 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15702717003 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Stock |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Geisinger Jersey Shore Hospital |
| WORKSITE ADDRESS2 | 1020 Thompson Street |
| LCA CASE WORKLOC1 CITY | Jersey Shore |
| WORKSITE COUNTY | LYCOMING |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17740 |
| LCA CASE WAGE RATE FROM | 23.97 |
| LCA CASE WAGE RATE TO | 35.96 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 16.69 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Stock |
| PREPARER FIRST NAME | William |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| PREPARER EMAIL | [email protected] |
