| LCA CASE NUMBER | I-200-23116-968896 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-26 |
| DECISION DATE | 2023-05-03 |
| 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 | 2023-06-05 |
| END DATE | 2026-06-04 |
| 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 | Mississippi County Hospital System |
| EMPLOYER ADDRESS1 | 1520 North Division Street |
| EMPLOYER CITY | Blytheville |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72315 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18708387300 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Blurton |
| EMPLOYER POC FIRST NAME | Cheri |
| EMPLOYER POC JOB TITLE | System Director of Human Resource |
| EMPLOYER POC ADDRESS1 | 1520 North Division Street |
| EMPLOYER POC CITY | Blytheville |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72315 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18708387300 |
| EMPLOYER POC EMAIL | Cheri.blurton@mchsys.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GRODE |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY MIDDLE NAME | Agins |
| AGENT ATTORNEY ADDRESS1 | 1524 Delancey Street |
| AGENT ATTORNEY ADDRESS2 | 4th Floor |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12153958959 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | jgrode@gands-us.com |
| LAWFIRM NAME BUSINESS NAME | Green and Spiegel, LLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 611 W. Lee Avenue |
| LCA CASE WORKLOC1 CITY | Osceola |
| WORKSITE COUNTY | MISSISSIPPI |
| LCA CASE WORKLOC1 STATE | AR |
| WORKSITE POSTAL CODE | 72370 |
| LCA CASE WAGE RATE FROM | 29 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 16.03 |
| 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 |
| PREPARER LAST NAME | Grode |
| PREPARER FIRST NAME | Jonathan |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Green and Spiegel LLC |
| PREPARER EMAIL | jgrode@gands-us.com |
