\ H1B CASE NUMBER I-200-23054-797618



CASE NUNBER: I-200-23054-797618

LCA CASE NUMBERI-200-23054-797618
STATUSCertified
LCA CASE SUBMIT2023-02-23
DECISION DATE2023-03-02
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 DATE2023-08-01
END DATE2026-07-31
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMECalhoun Liberty Hospital Association, Inc.
TRADE NAME DBACalhoun Liberty Hospital
EMPLOYER ADDRESS120370 NE Burns Ave.
EMPLOYER ADDRESS2P.O. Box 419
EMPLOYER CITYBlountstown
EMPLOYER STATEFL
EMPLOYER POSTAL CODE32424
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18506745411
NAICS CODE622110
EMPLOYER POC LAST NAMETaylor
EMPLOYER POC FIRST NAMEJeffrey
EMPLOYER POC JOB TITLELaboratory Manager
EMPLOYER POC ADDRESS120370 NE Burns Ave.
EMPLOYER POC ADDRESS2P.O. Box 419
EMPLOYER POC CITYBlountstown
EMPLOYER POC STATEFL
EMPLOYER POC POSTAL CODE32424
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18506745411
EMPLOYER POC EMAILJTaylor@clhcares.org
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 ADDRESSraytungol@gmail.com
LAWFIRM NAME BUSINESS NAMETungol Law Office
STATE OF HIGHEST COURTMI
NAME OF HIGHEST STATE COURTMichigan Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS120370 NE Burns Ave.
LCA CASE WORKLOC1 CITYBlountstown
WORKSITE COUNTYCALHOUN
LCA CASE WORKLOC1 STATEFL
WORKSITE POSTAL CODE32424
LCA CASE WAGE RATE FROM26.52
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE24.09
PW UNIT OF PAYHour
PW WAGE LEVELIII
PW OES YEAR7/1/2022 - 6/30/2023
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business