| LCA CASE NUMBER | I-200-21117-261409 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-27 |
| DECISION DATE | 2021-05-04 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-01 |
| END DATE | 2024-05-30 |
| 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 | Northeast Montana Health Services, Inc. |
| EMPLOYER ADDRESS1 | 315 Knapp St. |
| EMPLOYER CITY | Wolf Point |
| EMPLOYER STATE | MT |
| EMPLOYER POSTAL CODE | 59201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14066536500 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kauffold |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS 1 | 315 Knapp St. |
| EMPLOYER POC CITY | Wolf Point |
| EMPLOYER POC STATE | MT |
| EMPLOYER POC POSTAL CODE | 59201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14066536582 |
| EMPLOYER POC EMAIL | jkauffold@nemhs.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Combs |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | T |
| AGENT ATTORNEY ADDRESS1 | 2000 S. Colorado Blvd. Tower 3 |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13037646809 |
| AGENT ATTORNEY EMAIL ADDRESS | john.combs@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | CO |
|
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 211 H Street East |
| LCA CASE WORKLOC1 CITY | Poplar |
| WORKSITE COUNTY | ROOSEVELT |
| LCA CASE WORKLOC1 STATE | MT |
| WORKSITE POSTAL CODE | 59255 |
| LCA CASE WAGE RATE FROM | 56160 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 50627 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Windhausen |
| PREPARER FIRST NAME | Michelle |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | michelle.windhausen@ogletreedeakins.com |
