| LCA CASE NUMBER | I-200-20239-788808 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-26 |
| DECISION DATE | 2020-09-02 |
| 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 | 2021-01-11 |
| END DATE | 2024-01-10 |
| 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 | Hospital Authority of the City of Bainbridge |
| TRADE NAME DBA | Memorial Hospital and Manor |
| EMPLOYER ADDRESS1 | 1500 E. Shotwell St. |
| EMPLOYER CITY | Bainbridge |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 39819 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12292436100 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Karen |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Human Resources Manager, Interim |
| EMPLOYER POC ADDRESS1 | 1500 E. Shotwell St. |
| EMPLOYER POC CITY | Bainbridge |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 39819 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | GA |
| EMPLOYER POC PHONE | 12292436100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | TUNGOL |
| AGENT ATTORNEY FIRST NAME | RENATO |
| AGENT ATTORNEY MIDDLE NAME | DUMAGAN |
| AGENT ATTORNEY ADDRESS1 | 7705 FARMINGDALE DRIVE |
| AGENT ATTORNEY CITY | DARIEN |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60561 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16309208983.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Tungol Law Office |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1500 E Shotwell St. |
| LCA CASE WORKLOC1 CITY | Bainbridge |
| WORKSITE COUNTY | DECATUR |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 39819 |
| LCA CASE WAGE RATE FROM | 23.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.25 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
