\ H1B CASE NUMBER I-200-17055-841019



CASE NUNBER: I-200-17055-841019

LCA CASE NUMBERI-200-17055-841019
STATUSCERTIFIED
LCA CASE SUBMIT2/24/2017
DECISION DATE3/2/2017
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE4/1/2017
EMPLOYMENT END DATE3/31/2020
LCA CASE EMPLOYER NAMENORTHWEST FLORIDA HEALTHCARE, INC.
EMPLOYER BUSINESS DBANORTHWEST FLORIDA COMMUNITY HOSPITAL
EMPLOYER ADDRESS1360 BRICKYARD ROAD
EMPLOYER CITYCHIPLEY
EMPLOYER STATEFL
EMPLOYER POSTAL CODE32428
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE8506381610
AGENT REPRESENTING EMPLOYERY
AGENT ATTORNEY NAMETUNGOL, RENATO
AGENT ATTORNEY CITYDARIEN
AGENT ATTORNEY STATEIL
LCA CASE JOB TITLEMEDICAL TECHNOLOGIST
SOC CODE29-2011
SOC NAMEMEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS
NAICS CODE622110
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONN
PREVAILING WAGE23.78
PW UNIT OF PAYHour
PW WAGE LEVELLevel II
PW SOURCEOES
PW SOURCE YEAR2016
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM25.00
LCA CASE WAGE RATE TO0.00
LCA CASE WAGE RATE UNITHour
H1B DEPENDENTN
WILLFUL VIOLATORN
LCA CASE WORKLOC1 CITYCHIPLEY
WORKSITE COUNTYWASHINGTON
LCA CASE WORKLOC1 STATEFL
WORKSITE POSTAL CODE32428