| LCA CASE NUMBER | I-200-20071-395964 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-11 |
| DECISION DATE | 2020-03-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CLINICAL LABORATORY TECHNOLOGIST |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-31 |
| END DATE | 2023-03-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Nathan Littauer Hospital and Nursing Home |
| EMPLOYER ADDRESS1 | 99 East State Street |
| EMPLOYER CITY | Gloversville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12078 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15187735501 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | KELLY |
| EMPLOYER POC FIRST NAME | LAURENCE |
| EMPLOYER POC MIDDLE NAME | E. |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS1 | 99 EAST STATE STREET |
| EMPLOYER POC CITY | GLOVERSVILLE |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12078 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15187735501 |
| EMPLOYER POC EMAIL | LKELLY@NLH.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Reyes |
| AGENT ATTORNEY FIRST NAME | Jesus Martin |
| AGENT ATTORNEY MIDDLE NAME | Lomboy |
| AGENT ATTORNEY ADDRESS1 | 71 WEST 23RD STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 1619 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125242740.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jmreyeslaw@outlook.com |
| LAWFIRM NAME BUSINESS NAME | Law Firm of Jesus Martin L. Reyes, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 99 EAST STATE STREET |
| LCA CASE WORKLOC1 CITY | GLOVERSVILLE |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12078 |
| LCA CASE WAGE RATE FROM | 35.3 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 35.08 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| 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 |
| PREPARER LAST NAME | NOT APPLICABLE |
| PREPARER FIRST NAME | NOT APPLICABLE |
| PREPARER BUSINESS NAME | NOT APPLICABLE |
