| LCA CASE NUMBER | I-200-16039-191308 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/9/16 |
| DECISION DATE | 2/16/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/23/16 |
| EMPLOYMENT END DATE | 7/22/19 |
| LCA CASE EMPLOYER NAME | ANDROSCOGGIN VALLEY HOSPITAL |
| EMPLOYER ADDRESS | 59 PAGE HILL ROAD |
| EMPLOYER CITY | BERLIN |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03570 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6037522200 |
| AGENT ATTORNEY NAME | TUNGOL, RENATO |
| AGENT ATTORNEY CITY | DARIEN |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 26.25 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 28.90 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BERLIN |
| WORKSITE COUNTY | COOS |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 03570 |
