| LCA CASE NUMBER | I-200-21231-533868 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-19 |
| DECISION DATE | 2021-08-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technician |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-10 |
| END DATE | 2024-09-09 |
| 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 | Premium Health Inc. |
| EMPLOYER ADDRESS1 | 620 Foster Avenue |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11230 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17184077300 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Fishman |
| EMPLOYER POC FIRST NAME | Tzvi |
| EMPLOYER POC JOB TITLE | Director of Operations |
| EMPLOYER POC ADDRESS1 | 620 Foster Avenue |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11230 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17184077300 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sun |
| AGENT ATTORNEY FIRST NAME | Stella |
| AGENT ATTORNEY ADDRESS1 | PO Box 15 |
| AGENT ATTORNEY CITY | Liberty Corner |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7938 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16468667586 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Stella Sun |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | 2nd appellate court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 620 Foster Avenue |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11230 |
| LCA CASE WAGE RATE FROM | 22.43 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 22.43 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
