| LCA CASE NUMBER | I-200-19330-168128 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-26 |
| DECISION DATE | 2019-12-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-09 |
| END DATE | 2022-12-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ANDREWS COUNTY HOSPITAL DISTRICT |
| TRADE NAME DBA | PERMIAN REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 720 HOSPITAL DRIVE |
| EMPLOYER CITY | ANDREWS |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79714 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14324642128 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BOOTH |
| EMPLOYER POC FIRST NAME | DONALD |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 720 HOSPITAL DRIVE |
| EMPLOYER POC CITY | ANDREWS |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 79714 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14325235773 |
| EMPLOYER POC EMAIL | dbooth@permianregional.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | JURISPRUDENCIA |
| AGENT ATTORNEY FIRST NAME | MELVYN |
| AGENT ATTORNEY MIDDLE NAME | SANTIBANEZ |
| AGENT ATTORNEY ADDRESS1 | PO BOX 683005 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77268 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17138994994.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ATTYJ@HOTMAIL.COM |
| LAWFIRM NAME BUSINESS NAME | JURISPRUDENCIA LAW OFFICE |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 720 HOSPITAL DRIVE |
| LCA CASE WORKLOC1 CITY | ANDREWS |
| WORKSITE COUNTY | ANDREWS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79714 |
| LCA CASE WAGE RATE FROM | 26.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 25.17 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
