| LCA CASE NUMBER | I-200-23265-374059 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2023-09-22 |
| DECISION DATE | 2023-09-22 |
| 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 | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | Cosmic Healthcare, LLC |
| EMPLOYER ADDRESS1 | 23099 Red Sunset Place |
| EMPLOYER CITY | Aldie |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 20105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15712447704 |
| NAICS CODE | 56131 |
| EMPLOYER POC LAST NAME | Challapalli |
| EMPLOYER POC FIRST NAME | Srinivasa |
| EMPLOYER POC JOB TITLE | Account Manager |
| EMPLOYER POC ADDRESS1 | 23099 Red Sunset Place |
| EMPLOYER POC CITY | Aldie |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 20105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15712447704 |
| EMPLOYER POC EMAIL | info@cosmichealthcare.us |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Dawson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Spencer |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133818472 |
| AGENT ATTORNEY PHONE EXT | 93 |
| AGENT ATTORNEY EMAIL ADDRESS | john.dawson@muimmigration.com |
| LAWFIRM NAME BUSINESS NAME | MusilloUnkenholt, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Lutheran Hospital |
| WORKSITE ADDRESS1 | 7950 W Jefferson Blvd. |
| LCA CASE WORKLOC1 CITY | Fort Wayne |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 39402 |
| LCA CASE WAGE RATE FROM | 28 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 15.38 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Belcher |
| PREPARER FIRST NAME | Joshua |
| PREPARER BUSINESS NAME | Musillo Unkenholt, LLC |
| PREPARER EMAIL | joshua.belcher@muimmigration.com |
