| LCA CASE NUMBER | I-200-24263-350108 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-09-19 |
| DECISION DATE | 2024-09-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-03-02 |
| END DATE | 2028-03-01 |
| 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 | Great Plains of Republic Co, Inc. |
| TRADE NAME DBA | Republic County Hospital |
| EMPLOYER ADDRESS1 | 2420 G street |
| EMPLOYER CITY | Belleville |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 66935 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17855272254 |
| EMPLOYER FEIN | 48-1226977 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Kelly |
| EMPLOYER POC FIRST NAME | Dan |
| EMPLOYER POC JOB TITLE | Chief Executive officer |
| EMPLOYER POC ADDRESS1 | 2420 G Street |
| EMPLOYER POC CITY | Belleville |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 66935 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17855272254 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rechul-stone |
| AGENT ATTORNEY FIRST NAME | Eliza |
| AGENT ATTORNEY ADDRESS1 | 302 W. Third St. |
| AGENT ATTORNEY ADDRESS2 | Suite 700 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133818472 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Musillounkenholt, LLC. |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2420 G Street |
| LCA CASE WORKLOC1 CITY | Belleville |
| WORKSITE COUNTY | REPUBLIC |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66935 |
| LCA CASE WAGE RATE FROM | 24.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.94 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | McKinney |
| PREPARER FIRST NAME | Antonio |
| PREPARER BUSINESS NAME | Musillounkenholt, LLC. |
| PREPARER EMAIL | [email protected] |