| LCA CASE NUMBER | I-200-21280-630652 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-07 |
| DECISION DATE | 2021-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST II |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-31 |
| END DATE | 2024-12-30 |
| 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 | CARLINVILLE AREA HOSPITAL ASSOCIATION |
| EMPLOYER ADDRESS1 | 20733 NORTH BROAD STREET |
| EMPLOYER CITY | CARLINVILLE |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62626 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12178543141 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | KOSTER |
| EMPLOYER POC FIRST NAME | TRACY |
| EMPLOYER POC JOB TITLE | CHIEF OPERATING OFFICER/HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 20733 NORTH BROAD STREET |
| EMPLOYER POC CITY | CARLINVILLE |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62626 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12178543832 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | METZGER |
| AGENT ATTORNEY FIRST NAME | DIANE |
| AGENT ATTORNEY MIDDLE NAME | ELIZABETH |
| AGENT ATTORNEY ADDRESS1 | 34 N. MERAMEC AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 600 |
| AGENT ATTORNEY CITY | ST. LOUIS |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13148803604 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | TUETH, KEENEY, COOPER, MOHAN & JACKSTADT, P.C. |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | MISSOURI SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 20733 NORTH BROAD STREET |
| LCA CASE WORKLOC1 CITY | CARLINVILLE |
| WORKSITE COUNTY | MACOUPIN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62626 |
| LCA CASE WAGE RATE FROM | 70720 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 50939 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | RAY |
| PREPARER FIRST NAME | MICHELLE |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | TUETH, KEENEY, COOPER, MOHAN & JACKSTADT, P.C |
| PREPARER EMAIL | [email protected] |