| LCA CASE NUMBER | I-200-20260-825438 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-15 |
| DECISION DATE | 2020-09-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-22 |
| END DATE | 2023-09-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PLATINUM EMPIRE GROUP, INC. |
| TRADE NAME DBA | PLATINUM HEALTHCARE STAFFING |
| EMPLOYER ADDRESS1 | 2430 Amsler Street |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Torrance |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90505 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13108215888 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | BHATTACHARYA |
| EMPLOYER POC FIRST NAME | Rajat |
| EMPLOYER POC JOB TITLE | Executive VP |
| EMPLOYER POC ADDRESS1 | 2430 Amsler Street |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Torrance |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90505 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13108215888 |
| EMPLOYER POC EMAIL | raj@platinumempiregroup.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Gervacio |
| AGENT ATTORNEY FIRST NAME | Gladys |
| AGENT ATTORNEY ADDRESS1 | 15925 Carmenita Road |
| AGENT ATTORNEY CITY | Cerritos |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15622291220.0 |
| AGENT ATTORNEY EMAIL ADDRESS | nina.scottcurry@chugh.com |
| LAWFIRM NAME BUSINESS NAME | CHUGH LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Olive View - UCLA Medical Center |
| WORKSITE ADDRESS1 | 14445 Olive View Drive |
| LCA CASE WORKLOC1 CITY | Sylmar |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91342 |
| LCA CASE WAGE RATE FROM | 36.16 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 36.16 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Scott-Curry |
| PREPARER FIRST NAME | Nina |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | CHUGH LLP |
| PREPARER EMAIL | nina.scottcurry@chugh.com |
