| LCA CASE NUMBER | I-200-20211-742291 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-29 |
| DECISION DATE | 2020-08-05 |
| 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 | 2020-09-01 |
| END DATE | 2023-08-31 |
| 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 | Mountrail County Medical Center |
| EMPLOYER ADDRESS1 | 615 6th St SE |
| EMPLOYER CITY | Stanley |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58784 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17016282442 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | DeBilt |
| EMPLOYER POC FIRST NAME | Alisha |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 615 6th St SE |
| EMPLOYER POC CITY | Stanley |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58784 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17016282442 |
| EMPLOYER POC PHONE EXT | 111.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Borja |
| AGENT ATTORNEY FIRST NAME | Carlo Franco |
| AGENT ATTORNEY ADDRESS1 | 20955 Pathfinder Rd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 100 |
| AGENT ATTORNEY CITY | Diamond Bar |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91765 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19093780318.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Carlo Borja |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 615 6th St SE |
| LCA CASE WORKLOC1 CITY | Stanley |
| WORKSITE COUNTY | MOUNTRAIL |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58784 |
| LCA CASE WAGE RATE FROM | 25.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.78 |
| 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 and Employment |
