| LCA CASE NUMBER | I-200-21007-000020 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-07 |
| DECISION DATE | 2021-01-14 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-07 |
| END DATE | 2024-01-06 |
| TOTAL WORKER POSITIONS | 12 |
| NEW EMPLOYMENT | 3 |
| CONTINUED EMPLOYMENT | 3 |
| CHANGE PREVIOUS EMPLOYMENT | 3 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Guardian Healthcare Providers |
| EMPLOYER ADDRESS1 | 105 Westpark Drive |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Brentwood |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16153779140 |
| NAICS CODE | 56131 |
| EMPLOYER POC LAST NAME | Xavier |
| EMPLOYER POC FIRST NAME | Pauline |
| EMPLOYER POC JOB TITLE | VP, International Operations |
| EMPLOYER POC ADDRESS 1 | 105 Westpark Drive |
| EMPLOYER POC ADDRESS 2 | Suite 100 |
| EMPLOYER POC CITY | Brentwood |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16153779140 |
| EMPLOYER POC EMAIL | pxavier@guardianhealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Johnson |
| AGENT ATTORNEY FIRST NAME | Marin |
| AGENT ATTORNEY ADDRESS1 | 105 Westpark Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Brentwood |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37027 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16153779140 |
| AGENT ATTORNEY EMAIL ADDRESS | mjohnson@guardianhealthcare.com |
| LAWFIRM NAME BUSINESS NAME | Guardian Healthcare Providers |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Tennessee |
| WORKSITE WORKERS | 12 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Sheridan Memorial System |
| WORKSITE ADDRESS1 | 440 W Laurel Ave |
| LCA CASE WORKLOC1 CITY | Plentywood |
| WORKSITE COUNTY | SHERIDAN |
| LCA CASE WORKLOC1 STATE | MT |
| WORKSITE POSTAL CODE | 59254 |
| LCA CASE WAGE RATE FROM | 24.34 |
| LCA CASE WAGE RATE TO | 25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.34 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
