| LCA CASE NUMBER | I-200-22041-892257 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2022-02-10 |
| DECISION DATE | 2022-02-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-05 |
| END DATE | 2023-04-04 |
| 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 | Benewah Community Hospital |
| EMPLOYER ADDRESS1 | 229 South 7th Street |
| EMPLOYER CITY | St. Maries |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83861 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12082455551 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | LLOYD, JR. |
| EMPLOYER POC FIRST NAME | Charles |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 229 South 7th Street |
| EMPLOYER POC CITY | St. Maries |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83861 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12082455551 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ILAGAN |
| AGENT ATTORNEY FIRST NAME | Gary |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 6588 Corporate Dr. |
| AGENT ATTORNEY ADDRESS2 | 3rd Floor |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17137722300 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | FONG ILAGAN, LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Southern District of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 229 South 7th Street |
| LCA CASE WORKLOC1 CITY | St. Maries |
| WORKSITE COUNTY | BENEWAH |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83861 |
| LCA CASE WAGE RATE FROM | 24.74 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.15 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
