| LCA CASE NUMBER | I-200-21175-422995 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-23 |
| DECISION DATE | 2021-06-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | LABORATORY ASSOCIATE |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | FAMILY HEALTHCARE & CARDIAC CENTER |
| EMPLOYER ADDRESS1 | 7404 5TH AVENUE |
| EMPLOYER CITY | BROOKLYN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11209 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19176586661 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | MITTAL |
| EMPLOYER POC FIRST NAME | NIRANJAN |
| EMPLOYER POC JOB TITLE | OWNER |
| EMPLOYER POC ADDRESS 1 | 7404 5TH AVENUE |
| EMPLOYER POC CITY | BROOKLYN |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11209 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19176586661 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FISHER |
| AGENT ATTORNEY FIRST NAME | THEDA |
| AGENT ATTORNEY ADDRESS1 | 430 PARK AVENUE |
| AGENT ATTORNEY ADDRESS2 | 10TH FLOOR |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10022 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128489886 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | WITHERS BERGMAN LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4509 5TH AVENUE |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11220 |
| LCA CASE WAGE RATE FROM | 75000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 68245 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
