| LCA CASE NUMBER | I-200-21267-605155 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-24 |
| DECISION DATE | 2021-10-01 |
| 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 | 2021-10-15 |
| END DATE | 2024-10-14 |
| 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 | Pioneers Memorial Healthcare District |
| TRADE NAME DBA | Pioneers Memorial Hospital |
| EMPLOYER ADDRESS1 | 207 W. Legion Road |
| EMPLOYER CITY | BRAWLEY |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92227 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17603513353 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | NGUYEN |
| EMPLOYER POC FIRST NAME | Sally |
| EMPLOYER POC MIDDLE NAME | Thi |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS1 | 207 W. Legion Road |
| EMPLOYER POC CITY | BRAWLEY |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92227 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17603513353 |
| EMPLOYER POC EMAIL | snguyen@pmhd.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | COOKE |
| AGENT ATTORNEY FIRST NAME | Arthur |
| AGENT ATTORNEY MIDDLE NAME | Campbell |
| AGENT ATTORNEY ADDRESS1 | 4627 East 91st Street |
| AGENT ATTORNEY CITY | Tulsa |
| AGENT ATTORNEY STATE | OK |
| AGENT ATTORNEY POSTAL CODE | 74137 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19189603400 |
| AGENT ATTORNEY EMAIL ADDRESS | campbell@campbellcooke.net |
| LAWFIRM NAME BUSINESS NAME | The Law Office of Campbell Cooke |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 207 W. Legion Road |
| LCA CASE WORKLOC1 CITY | Brawley |
| WORKSITE COUNTY | IMPERIAL |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92227 |
| LCA CASE WAGE RATE FROM | 88836.79 |
| LCA CASE WAGE RATE TO | 88836.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 48526 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | COOKE |
| PREPARER FIRST NAME | Arthur |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | LAW OFFICE OF CAMPBELL COOKE |
| PREPARER EMAIL | campbell@campbellcooke.net |
