| LCA CASE NUMBER | I-200-16120-953548 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/4/16 |
| DECISION DATE | 5/10/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/12/16 |
| EMPLOYMENT END DATE | 9/11/19 |
| LCA CASE EMPLOYER NAME | MOUNTRAIL COUNTY MEDICAL CENTER |
| EMPLOYER ADDRESS | 615 6TH STREET SE |
| EMPLOYER CITY | STANLEY |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58784 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7016282424 |
| AGENT ATTORNEY NAME | BALAHADIA, MODESTO |
| AGENT ATTORNEY CITY | STATEN ISLAND |
| AGENT ATTORNEY STATE | NY |
| 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 | 25.67 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 26.81 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | STANLEY |
| WORKSITE COUNTY | MOUNTRAIL |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58784 |
