| LCA CASE NUMBER | I-200-20358-977780 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-23 |
| DECISION DATE | 2021-01-04 |
| 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 | 2021-04-15 |
| END DATE | 2024-04-14 |
| 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 | GREAT PLAINS OF CHEYENNE COUNTY, INC. |
| TRADE NAME DBA | CHEYENNE COUNTY HOSPITAL |
| EMPLOYER ADDRESS1 | 210 W 1ST STREET |
| EMPLOYER CITY | ST. FRANCIS |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67756 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17853322104 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | ANDRIST |
| EMPLOYER POC FIRST NAME | KELSEY |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HUMAN RESOURCES |
| EMPLOYER POC ADDRESS 1 | 210 W 1ST STREET |
| EMPLOYER POC CITY | ST. FRANCIS |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67756 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17853322104 |
| EMPLOYER POC PHONE EXT | 116 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Zaritzky |
| AGENT ATTORNEY ADDRESS1 | 201 North 13th Street |
| AGENT ATTORNEY ADDRESS2 | Suite B |
| AGENT ATTORNEY CITY | Lincoln |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68508 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023289899 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Brown Immigration Law P.C., L.L.O. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF CALIFORNIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 210 W 1ST STREET |
| LCA CASE WORKLOC1 CITY | ST. FRANCIS |
| WORKSITE COUNTY | CHEYENNE |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67756 |
| LCA CASE WAGE RATE FROM | 23.5 |
| LCA CASE WAGE RATE TO | 27.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.15 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
