| LCA CASE NUMBER | I-200-19343-187062 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-09 |
| DECISION DATE | 2019-12-16 |
| 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 | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-10 |
| END DATE | 2023-02-09 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 2 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | GREAT PLAINS OF CHEYENNE COUNTY, INC. |
| TRADE NAME DBA | CHEYENNE COUNTY HOSPITAL |
| EMPLOYER ADDRESS1 | 210 W. 1ST STREET |
| EMPLOYER CITY | ST. FRANCIS |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67756 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +17853322104 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Pottroff |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 210 W. 1ST STREET |
| EMPLOYER POC CITY | St. Francis |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67756 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +17853322104 |
| EMPLOYER POC EMAIL | kpottroff@cheyennecountyhospital.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Zaritzky |
| AGENT ATTORNEY ADDRESS1 | 201 North 13th Street |
| AGENT ATTORNEY ADDRESS2 | Suite B |
| AGENT ATTORNEY CITY | Lincoln |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68508 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023289899.0 |
| AGENT ATTORNEY EMAIL ADDRESS | dol@brownimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Brown Immigration Law P.C., L.L.O. |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 2.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 210 W. 1ST STREET |
| LCA CASE WORKLOC1 CITY | St. Francis |
| WORKSITE COUNTY | CHEYENNE |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67756 |
| LCA CASE WAGE RATE FROM | 23.0 |
| LCA CASE WAGE RATE TO | 27.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.91 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
