| LCA CASE NUMBER | I-200-21253-577080 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-10 |
| DECISION DATE | 2021-09-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Lab Scientist 3 |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-20 |
| END DATE | 2024-09-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Luke's Health System, Ltd. |
| EMPLOYER ADDRESS1 | 190 East Bannock |
| EMPLOYER CITY | Boise |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83712 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12084930563 |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | Hainline |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC JOB TITLE | Paralegal |
| EMPLOYER POC ADDRESS1 | 190 East Bannock |
| EMPLOYER POC CITY | Boise |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83712 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12084930564 |
| EMPLOYER POC EMAIL | hainlinm@slhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Villaseñor Sanchez |
| AGENT ATTORNEY FIRST NAME | Claudia |
| AGENT ATTORNEY ADDRESS1 | 2400 N Glenville Drive, Building A |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Richardson |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 75082 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14695052476 |
| AGENT ATTORNEY EMAIL ADDRESS | cvillasenor@bal.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman & Leiden LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 Hospital Drive |
| LCA CASE WORKLOC1 CITY | Ketchum |
| WORKSITE COUNTY | BLAINE |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83340 |
| LCA CASE WAGE RATE FROM | 56784 |
| LCA CASE WAGE RATE TO | 63190 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56784 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Dominguez |
| PREPARER FIRST NAME | Nancy |
| PREPARER BUSINESS NAME | Berry Appleman & Leiden LLP |
| PREPARER EMAIL | ndominguez@bal.com |
