| LCA CASE NUMBER | I-200-22013-828090 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-13 |
| DECISION DATE | 2022-01-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Medical Technologist/Medical Technologist ASCPI |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-13 |
| END DATE | 2025-01-12 |
| 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 | Medicine Lodge Memorial Hospital |
| EMPLOYER ADDRESS1 | 710 N. Walnut |
| EMPLOYER CITY | Medicine Lodge |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16209303705 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Taylor |
| EMPLOYER POC FIRST NAME | Ashley |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 710 N Walnut |
| EMPLOYER POC CITY | Medicine Lodge |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16209303705 |
| EMPLOYER POC EMAIL | ataylor@mlmh.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Perez |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 4221 Wilshire Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 394 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13232030922 |
| AGENT ATTORNEY EMAIL ADDRESS | cynthia.perez@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, LLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 710 N. Walnut |
| LCA CASE WORKLOC1 CITY | Medicine Lodge |
| WORKSITE COUNTY | BARBER |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67104 |
| LCA CASE WAGE RATE FROM | 21 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.35 |
| 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 |
