| LCA CASE NUMBER | I-200-23088-888223 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-29 |
| DECISION DATE | 2023-04-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Lab Manager |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-09-28 |
| END DATE | 2026-09-27 |
| 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 | Mountain Dental Lab, Inc. |
| EMPLOYER ADDRESS1 | 1074 Park View Drive |
| EMPLOYER ADDRESS2 | Suite 203 |
| EMPLOYER CITY | COVINA |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91724 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16263322437 |
| NAICS CODE | 339116 |
| EMPLOYER POC LAST NAME | Chang |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 1074 Park View Drive |
| EMPLOYER POC ADDRESS2 | Suite 203 |
| EMPLOYER POC CITY | Covina |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91724 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16263322437 |
| EMPLOYER POC EMAIL | rudy@mtndental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | sun |
| AGENT ATTORNEY FIRST NAME | wenjie |
| AGENT ATTORNEY ADDRESS1 | 14 Penn Plaza, Suite 1517 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10122 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16318883636 |
| AGENT ATTORNEY EMAIL ADDRESS | wenjie@sunrenlaw.com |
| LAWFIRM NAME BUSINESS NAME | SUN & REN PLLC |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1074 Park View Drive |
| WORKSITE ADDRESS2 | Suite 203 |
| LCA CASE WORKLOC1 CITY | Covina |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91724 |
| LCA CASE WAGE RATE FROM | 31.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 31.47 |
| 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 |
