| LCA CASE NUMBER | I-200-21208-485416 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-27 |
| DECISION DATE | 2021-08-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Laboratory Director |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-04 |
| END DATE | 2024-12-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Stevens County Healthcare |
| EMPLOYER ADDRESS1 | 1006 S. Jackson Street |
| EMPLOYER CITY | Hugoton |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67951 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16205448511 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mangels |
| EMPLOYER POC FIRST NAME | Diane |
| EMPLOYER POC JOB TITLE | Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 1006 S. Jackson Street |
| EMPLOYER POC CITY | Hugoton |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67951 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16205448511 |
| EMPLOYER POC EMAIL | dporter@stevenscountyhospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Zaritzky |
| AGENT ATTORNEY ADDRESS1 | 201 North 13th Street |
| AGENT ATTORNEY ADDRESS2 | Suite B |
| AGENT ATTORNEY CITY | Lincoln |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68508 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023289899 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | dol@brownimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Brown Immigration Law P.C., L.L.O. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1006 S. Jackson Street |
| LCA CASE WORKLOC1 CITY | Hugoton |
| WORKSITE COUNTY | STEVENS |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67951 |
| LCA CASE WAGE RATE FROM | 27 |
| LCA CASE WAGE RATE TO | 37 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.04 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
