| LCA CASE NUMBER | I-200-20302-890008 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-28 |
| DECISION DATE | 2020-11-04 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-15 |
| END DATE | 2024-01-14 |
| 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 | Washington County Regional Medical Center |
| EMPLOYER ADDRESS1 | 610 Sparta Road |
| EMPLOYER CITY | Sandersville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31082 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14782402000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ivey |
| EMPLOYER POC FIRST NAME | Misty |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 610 Sparta Road |
| EMPLOYER POC CITY | Sandersville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31082 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14782402277 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 5125 County Road 101 |
| AGENT ATTORNEY ADDRESS2 | Suite 106 |
| AGENT ATTORNEY CITY | Minnetonka |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55345 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Minnesota |
| AGENT ATTORNEY PHONE | 16122055494 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Bruner Law Group, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 610 Sparta Road |
| LCA CASE WORKLOC1 CITY | Sandersville |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31082 |
| LCA CASE WAGE RATE FROM | 47840 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 44886 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
