| LCA CASE NUMBER | I-200-18348-271812 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2018-12-20 |
| DECISION DATE | 2018-12-28 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-04-05 |
| EMPLOYMENT END DATE | 2022-04-04 |
| LCA CASE EMPLOYER NAME | BENEWAH COMMUNITY HOSPITAL |
| EMPLOYER ADDRESS | 229 SOUTH 7TH STREET |
| EMPLOYER CITY | ST. MARIES |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83861 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2082455551 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | GARYILAGAN |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| 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 | True |
| PREVAILING WAGE | 19.66 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | 2 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 24.74 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | ST. MARIES |
| WORKSITE COUNTY | BENEWAH |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83861 |
| WILLFUL VIOLATOR | False |
