| LCA CASE NUMBER | I-200-20227-770255 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-14 |
| DECISION DATE | 2020-08-21 |
| 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 | 2020-08-21 |
| END DATE | 2023-08-20 |
| 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 | COMMUNITY HOSPITAL |
| EMPLOYER ADDRESS1 | 901 MACARTHUR BLVD. |
| EMPLOYER CITY | MUNSTER |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46321 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12198366727 |
| EMPLOYER PHONE EXT | 1467.0 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Brandt |
| EMPLOYER POC FIRST NAME | Debbie |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 901 MACARTHUR BLVD. |
| EMPLOYER POC CITY | MUNSTER |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46321 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12198366727 |
| EMPLOYER POC PHONE EXT | 1467.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Resendez |
| AGENT ATTORNEY FIRST NAME | Tomas |
| AGENT ATTORNEY ADDRESS1 | 5080 Spectrum Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 850W |
| AGENT ATTORNEY CITY | Addison |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19722336646.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 901 MacArthur Blvd. |
| LCA CASE WORKLOC1 CITY | Munster |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46321 |
| LCA CASE WAGE RATE FROM | 66560.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 30805.0 |
| 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 |
| PREPARER LAST NAME | Sharafi-Roumi |
| PREPARER FIRST NAME | Ziba |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
