| LCA CASE NUMBER | I-200-22040-889510 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-09 |
| DECISION DATE | 2022-02-16 |
| 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 | 2022-06-07 |
| END DATE | 2025-06-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HASKELL MEMORIAL HOSPITAL DISTRICT |
| TRADE NAME DBA | HASKELL MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS1 | 1 AVE N |
| EMPLOYER CITY | HASKELL |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79521 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19408642621 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | HICKS |
| EMPLOYER POC FIRST NAME | MELODY |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES/PAYROLL DIRECTOR |
| EMPLOYER POC ADDRESS1 | 1 NORTH AVENUE N |
| EMPLOYER POC CITY | HASKELL |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 79521 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19408642621 |
| EMPLOYER POC PHONE EXT | 301 |
| EMPLOYER POC EMAIL | mhicks@hmhhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | HAOS |
| AGENT ATTORNEY FIRST NAME | JOSELITO |
| AGENT ATTORNEY MIDDLE NAME | CINCO |
| AGENT ATTORNEY ADDRESS1 | 5206 HARVARD ST |
| AGENT ATTORNEY CITY | LUBBOCK |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 79416 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18067874121 |
| AGENT ATTORNEY EMAIL ADDRESS | jocshaos@gmail.com |
| LAWFIRM NAME BUSINESS NAME | JC HAOS IMMIGRATION LLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELATE DIVISION OF THE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 AVE N |
| LCA CASE WORKLOC1 CITY | HASKELL |
| WORKSITE COUNTY | HASKELL |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79521 |
| LCA CASE WAGE RATE FROM | 64480 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 44262 |
| 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 and Employment |
