| LCA CASE NUMBER | I-200-16287-512124 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/25/2016 |
| DECISION DATE | 10/31/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/22/2017 |
| EMPLOYMENT END DATE | 4/21/2020 |
| LCA CASE EMPLOYER NAME | GOVE COUNTY MEDICAL CENTER |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 520 W. 5TH STREET |
| EMPLOYER CITY | QUINTER |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67752 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 7857543341 |
| EMPLOYER PHONE EXT | 5124 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | STUMP, ATTORNEY AT LAW, T. |
| AGENT ATTORNEY CITY | OKLAHOMA CITY |
| AGENT ATTORNEY STATE | OK |
| 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 EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 46,966.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 46,966.00 |
| LCA CASE WAGE RATE TO | 50,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | QUINTER |
| WORKSITE COUNTY | GOVE |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67752 |
