| LCA CASE NUMBER | I-200-21187-446958 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-06 |
| DECISION DATE | 2021-07-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Lab Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-07 |
| END DATE | 2024-07-06 |
| 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 | Lodi Memorial Hospital Association, Inc. |
| TRADE NAME DBA | Adventist Health Lodi Memorial |
| EMPLOYER ADDRESS1 | 975 S. Fairmont Ave. |
| EMPLOYER CITY | Lodi |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95240 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12093343411 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lupo |
| EMPLOYER POC FIRST NAME | Marissa |
| EMPLOYER POC JOB TITLE | Manager, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 975 S. Fairmont Ave. |
| EMPLOYER POC CITY | Lodi |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95240 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12095596267 |
| EMPLOYER POC EMAIL | lupoma01@ah.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Choudhry |
| AGENT ATTORNEY FIRST NAME | Erum |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | PO BOX #191710 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14157655111 |
| AGENT ATTORNEY EMAIL ADDRESS | echoudhry@emvisa.com |
| LAWFIRM NAME BUSINESS NAME | E&M Mayock |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 975 S. Fairmont Ave. |
| LCA CASE WORKLOC1 CITY | Lodi |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95240 |
| LCA CASE WAGE RATE FROM | 85654 |
| LCA CASE WAGE RATE TO | 103937.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85654 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Azizi |
| PREPARER FIRST NAME | Ghazal |
| PREPARER BUSINESS NAME | E&M MAYOCK |
| PREPARER EMAIL | gazizi@emvisa.com |
