| LCA CASE NUMBER | I-200-22210-386300 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-29 |
| DECISION DATE | 2022-08-05 |
| 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 | 2022-08-01 |
| END DATE | 2025-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Tioga Medical Center |
| EMPLOYER ADDRESS1 | 810 N Welo St |
| EMPLOYER CITY | Tioga |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58852 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17016643305 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hove |
| EMPLOYER POC FIRST NAME | Mary Jo |
| EMPLOYER POC JOB TITLE | Laboratory Supervisor |
| EMPLOYER POC ADDRESS1 | 810 N Welo St |
| EMPLOYER POC CITY | Tioga |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58852 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17016643305 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Koren |
| AGENT ATTORNEY FIRST NAME | Gali |
| AGENT ATTORNEY ADDRESS1 | PO Box 53036 |
| AGENT ATTORNEY CITY | Irvine |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92619 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19496238707 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Gali Koren |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 810 N Welo St |
| LCA CASE WORKLOC1 CITY | Tioga |
| WORKSITE COUNTY | WILLIAMS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58852 |
| LCA CASE WAGE RATE FROM | 25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.28 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Koren |
| PREPARER FIRST NAME | Gali |
| PREPARER BUSINESS NAME | Law Offices of Gali Koren |
| PREPARER EMAIL | [email protected] |
