| LCA CASE NUMBER | I-200-17044-277584 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/13/2017 |
| DECISION DATE | 2/17/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/1/2017 |
| EMPLOYMENT END DATE | 3/31/2020 |
| LCA CASE EMPLOYER NAME | CAMPBELLTON GRACEVILLE HOSPITAL |
| EMPLOYER ADDRESS | 5429 COLLEGE DRIVE |
| EMPLOYER CITY | GRACEVILLE |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32440 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8502634431 |
| AGENT REPRESENTING EMPLOYER | Y |
| 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 |
| 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 | 23.78 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 30.90 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | GRACEVILLE |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32440 |
