| LCA CASE NUMBER | I-200-21313-694552 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-09 |
| DECISION DATE | 2021-11-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-06 |
| END DATE | 2024-12-05 |
| 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 | MedStar- Georgetown Medical Center Inc. |
| TRADE NAME DBA | MedStar Georgetown University Hospital |
| EMPLOYER ADDRESS1 | 2000 15th St., North |
| EMPLOYER ADDRESS2 | Suite 301 |
| EMPLOYER CITY | Arlington |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14109336813 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Eric |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 2000 15th St., North |
| EMPLOYER POC ADDRESS2 | Suite 301 |
| EMPLOYER POC CITY | Arlington |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22201-2683 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17035581240 |
| EMPLOYER POC EMAIL | eric.m.johnson@medstar.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fu |
| AGENT ATTORNEY FIRST NAME | Minnie |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17034838300 |
| AGENT ATTORNEY PHONE EXT | 8311 |
| AGENT ATTORNEY EMAIL ADDRESS | Minnie.Fu@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3800 Reservoir Road, NW |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20007 |
| LCA CASE WAGE RATE FROM | 31.25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.83 |
| PW UNIT OF PAY | Hour |
| 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 | Harmon |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | sarah.harmon@jacksonlewis.com |
