| LCA CASE NUMBER | I-200-22347-638091 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-12-13 |
| DECISION DATE | 2022-12-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-02-16 |
| END DATE | 2026-02-15 |
| 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 | A. O. Fox Memorial Hospital |
| EMPLOYER ADDRESS1 | One Norton Avenue |
| EMPLOYER CITY | Oneonta |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13820 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16074322000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kulesza |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Director, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | One Norton Avenue |
| EMPLOYER POC CITY | Oneonta |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13820 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16075476643 |
| EMPLOYER POC EMAIL | Kevin.kulesza@bassett.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | PO Box 1000 |
| AGENT ATTORNEY CITY | Manchester |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03105-1000 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032281277 |
| AGENT ATTORNEY EMAIL ADDRESS | jwilson@goffwilson.com |
| LAWFIRM NAME BUSINESS NAME | GoffWilson, P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | One Norton Avenue |
| LCA CASE WORKLOC1 CITY | Oneonta |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13820 |
| LCA CASE WAGE RATE FROM | 40.4 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.9 |
| 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 |
