| LCA CASE NUMBER | I-200-23150-061109 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-30 |
| DECISION DATE | 2023-06-06 |
| 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 | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | JACK COUNTY HOSPITAL DISTRICT |
| TRADE NAME DBA | FAITH COMMUNITY HEALTH SYSTEM |
| EMPLOYER ADDRESS1 | 215 CHISHOLM TRAIL |
| EMPLOYER CITY | JACKSBORO |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76458 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19405676633 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MILLER |
| EMPLOYER POC FIRST NAME | KARLA |
| EMPLOYER POC JOB TITLE | DIRECTOR OF LABORATORY SERVICES |
| EMPLOYER POC ADDRESS1 | 215 CHISHOLM TRAIL |
| EMPLOYER POC CITY | JACKSBORO |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76458 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19405676633 |
| EMPLOYER POC PHONE EXT | 292 |
| EMPLOYER POC EMAIL | kmiller@fchtexas.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MANGARON |
| AGENT ATTORNEY FIRST NAME | EDWARD |
| AGENT ATTORNEY MIDDLE NAME | NALASA |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 9624 |
| AGENT ATTORNEY CITY | SPRING |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77387 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14329409985 |
| AGENT ATTORNEY EMAIL ADDRESS | edn.mangaron.esq@gmail.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF EDWARD N. MANGARON |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 215 CHISHOLM TRAIL |
| LCA CASE WORKLOC1 CITY | JACKSBORO |
| WORKSITE COUNTY | JACK |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76458 |
| LCA CASE WAGE RATE FROM | 28 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.82 |
| 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 |
