| LCA CASE NUMBER | I-200-16119-982191 |
| STATUS | CERTIFIED-WITHDRAWN |
| LCA CASE SUBMIT | 4/28/16 |
| DECISION DATE | 5/15/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/2/16 |
| EMPLOYMENT END DATE | 10/2/19 |
| LCA CASE EMPLOYER NAME | TIOGA MEDICAL CENTER |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 810 NORTH WELO STREET |
| EMPLOYER CITY | TIOGA |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58852-0159 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7016643305 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MOJICA, JENNIFER |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 20.01 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | APWD, INC: OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 22.88 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | TIOGA |
| WORKSITE COUNTY | WILLIAMS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58852 |
| ORIGINAL CERT DATE | 5/2/16 |
