| LCA CASE NUMBER | I-200-17068-916506 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/9/2017 |
| DECISION DATE | 3/15/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/10/2017 |
| EMPLOYMENT END DATE | 4/9/2020 |
| LCA CASE EMPLOYER NAME | W.J. MANGOLD MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS | 320 N. MAIN |
| EMPLOYER CITY | LOCKNEY |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79241 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8066523373 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | POBJECKY, ARTIE |
| AGENT ATTORNEY CITY | WINTER HAVEN |
| AGENT ATTORNEY STATE | FL |
| 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 | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 42,723.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 42,750.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LOCKNEY |
| WORKSITE COUNTY | FLOYD |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79241 |
