| LCA CASE NUMBER | I-200-21176-427962 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-25 |
| DECISION DATE | 2021-07-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Laboratory Manager |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-15 |
| END DATE | 2024-09-14 |
| 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 | Provista Diagnostics, Inc. |
| EMPLOYER ADDRESS1 | 2001 Westside Parkway |
| EMPLOYER ADDRESS2 | Ste 240 |
| EMPLOYER CITY | Alpharetta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14707582777 |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | Commissiong |
| EMPLOYER POC FIRST NAME | Gerald |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 2001 Westside Parkway |
| EMPLOYER POC ADDRESS2 | Ste 240 |
| EMPLOYER POC CITY | Alpharetta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30004 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14707582777 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cabrera |
| AGENT ATTORNEY FIRST NAME | Laura |
| AGENT ATTORNEY MIDDLE NAME | dePaz |
| AGENT ATTORNEY ADDRESS1 | 4400 NW 23rd Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite E |
| AGENT ATTORNEY CITY | Gainesville |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13523783634 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | George & Cabrera PLLC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2001 Westside Parkway |
| WORKSITE ADDRESS2 | Ste 240 |
| LCA CASE WORKLOC1 CITY | Alpharetta |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30004 |
| LCA CASE WAGE RATE FROM | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 62670 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
