| LCA CASE NUMBER | I-200-20225-765257 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2020-08-12 |
| DECISION DATE | 2020-08-12 |
| 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 | 2021-02-01 |
| END DATE | 2024-01-31 |
| 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 | Madison Co Memorial Hospital |
| TRADE NAME DBA | Madison Memorial Hospital |
| EMPLOYER ADDRESS1 | 450 East Main Street |
| EMPLOYER CITY | Rexburg |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83440 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12083596900 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Watson |
| EMPLOYER POC FIRST NAME | Tonia |
| EMPLOYER POC JOB TITLE | Executive Director Human Resources |
| EMPLOYER POC ADDRESS1 | 450 East Main Street |
| EMPLOYER POC CITY | Rexburg |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83440 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12083599860 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Breen |
| AGENT ATTORNEY FIRST NAME | Amanda |
| AGENT ATTORNEY ADDRESS1 | PO Box 3898 |
| AGENT ATTORNEY CITY | Ketchum |
| AGENT ATTORNEY STATE | ID |
| AGENT ATTORNEY POSTAL CODE | 83340 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12087211760.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Amanda Breen Law, PLLC |
| STATE OF HIGHEST COURT | ID |
| NAME OF HIGHEST STATE COURT | Idaho Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 450 East Main Street |
| LCA CASE WORKLOC1 CITY | Rexburg |
| WORKSITE COUNTY | MADISON |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83440 |
| LCA CASE WAGE RATE FROM | 49025.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 39458.0 |
| PW UNIT OF PAY | Year |
| 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 |
