| LCA CASE NUMBER | I-200-20259-824122 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-15 |
| DECISION DATE | 2020-09-22 |
| 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 | 2021-03-15 |
| END DATE | 2024-03-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| TRADE NAME DBA | STEPHENS MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS1 | 200 S GENEVA ST |
| EMPLOYER CITY | BRECKENRIDGE |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76424 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12545592241 |
| EMPLOYER PHONE EXT | 1324.0 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | LAZARO |
| EMPLOYER POC FIRST NAME | LIDIA |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES DIRECTOR |
| EMPLOYER POC ADDRESS1 | 200 S GENEVA ST |
| EMPLOYER POC CITY | BRECKENRIDGE |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76424 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12545592241 |
| EMPLOYER POC PHONE EXT | 1321.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | HAOS |
| AGENT ATTORNEY FIRST NAME | JOSELITO |
| AGENT ATTORNEY MIDDLE NAME | CINCO |
| AGENT ATTORNEY ADDRESS1 | 5206 HARVARD STREET |
| AGENT ATTORNEY CITY | LUBBOCK |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 79416 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18066875121.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | JC HAOS IMMIGRATION LLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELATE DIVISION OF NEW YORK SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 200 S GENEVA ST |
| LCA CASE WORKLOC1 CITY | BRECKENRIDGE |
| WORKSITE COUNTY | STEPHENS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76424 |
| LCA CASE WAGE RATE FROM | 20.91 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.1 |
| 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 and Employment |
