\ H1B CASE NUMBER I-200-21282-635230



CASE NUNBER: I-200-21282-635230

LCA CASE NUMBERI-200-21282-635230
STATUSCertified
LCA CASE SUBMIT2021-10-08
DECISION DATE2021-10-18
VISA CLASSH-1B
LCA CASE JOB TITLEMedical Technologist
SOC CODE29-2011.00
SOC TITLEMedical and Clinical Laboratory Technologists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-03-01
END DATE2025-02-28
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEPemiscot Memorial Health Systems
TRADE NAME DBAPemiscot Memorial Health Systems
EMPLOYER ADDRESS1946 E. Reed St.
EMPLOYER CITYHayti
EMPLOYER STATEMO
EMPLOYER POSTAL CODE63851
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15733591372
NAICS CODE622110
EMPLOYER POC LAST NAMESuan
EMPLOYER POC FIRST NAMERuhanni
EMPLOYER POC MIDDLE NAMENoblefranca
EMPLOYER POC JOB TITLELaboratory Manager
EMPLOYER POC ADDRESS1946 E. Reed St.
EMPLOYER POC CITYHayti
EMPLOYER POC STATEMO
EMPLOYER POC POSTAL CODE63851
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15733591372
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMETUNGOL
AGENT ATTORNEY FIRST NAMERENATO
AGENT ATTORNEY MIDDLE NAMEDUMAGAN
AGENT ATTORNEY ADDRESS17705 FARMINGDALE DR
AGENT ATTORNEY CITYDARIEN
AGENT ATTORNEY STATEIL
AGENT ATTORNEY POSTAL CODE60561
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE16309208983
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMETungol Law Office
STATE OF HIGHEST COURTMI
NAME OF HIGHEST STATE COURTMichigan Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1946 E.Reed St.
LCA CASE WORKLOC1 CITYHayti
WORKSITE COUNTYPEMISCOT
LCA CASE WORKLOC1 STATEMO
WORKSITE POSTAL CODE63851
LCA CASE WAGE RATE FROM45760
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE45760
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business