| LCA CASE NUMBER | I-200-22214-391482 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-02 |
| DECISION DATE | 2022-08-09 |
| 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 | 2022-08-16 |
| END DATE | 2025-08-15 |
| 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 | KIMBALL COUNTY HOSPITAL |
| TRADE NAME DBA | KIMBALL HEALTH SERVICES |
| EMPLOYER ADDRESS1 | 505 S BURG ST |
| EMPLOYER CITY | KIMBALL |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 69145 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13082351951 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | PEDERSEN |
| EMPLOYER POC FIRST NAME | STEPHANIE |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES DIRECTOR |
| EMPLOYER POC ADDRESS1 | 505 S BURG ST |
| EMPLOYER POC CITY | KIMBALL |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 69145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13082351951 |
| EMPLOYER POC EMAIL | spedersen@kimballhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | JURISPRUDENCIA |
| AGENT ATTORNEY FIRST NAME | MELVYN |
| AGENT ATTORNEY MIDDLE NAME | SANTIBANEZ |
| AGENT ATTORNEY ADDRESS1 | PO BOX 683005 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77268 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17138994994 |
| AGENT ATTORNEY EMAIL ADDRESS | ATTYJ@HOTMAIL.COM |
| LAWFIRM NAME BUSINESS NAME | JURISPRUDENCIA LAW OFFICE |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 505 S BURG ST |
| LCA CASE WORKLOC1 CITY | KIMBALL |
| WORKSITE COUNTY | KIMBALL |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 69145 |
| LCA CASE WAGE RATE FROM | 26.4 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.47 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
