| LCA CASE NUMBER | I-200-20258-821730 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-14 |
| DECISION DATE | 2020-09-21 |
| 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 | 2020-09-16 |
| END DATE | 2023-09-15 |
| 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 | Warren Community Hospital |
| TRADE NAME DBA | North Valley Health Center |
| EMPLOYER ADDRESS1 | 300 West Good Samaritan Drive |
| EMPLOYER CITY | Warren |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56762 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12187454211 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Palm |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Lab Manager |
| EMPLOYER POC ADDRESS1 | 300 West Good Samaritan Drive |
| EMPLOYER POC CITY | Warren |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56762 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12187454211 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Perez |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 4221 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 394 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13232030922.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, LLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 300 West Good Samaritan Drive |
| LCA CASE WORKLOC1 CITY | Warren |
| WORKSITE COUNTY | MARSHALL |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56762 |
| LCA CASE WAGE RATE FROM | 26.59 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 26.59 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 |
