| LCA CASE NUMBER | I-200-16362-175816 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 12/30/2016 |
| DECISION DATE | 1/6/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/16/2017 |
| EMPLOYMENT END DATE | 1/15/2019 |
| LCA CASE EMPLOYER NAME | BLACKWELL HOSPITAL TRUST AUTHORITY |
| EMPLOYER BUSINESS DBA | BLACKWELL REGIONAL HOSPITAL |
| EMPLOYER ADDRESS | 710 S. 13TH ST. |
| EMPLOYER CITY | BLACKWELL |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74631 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 5803632311 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SNYDER, MARY |
| AGENT ATTORNEY CITY | OKLAHOMA CITY |
| AGENT ATTORNEY STATE | OK |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 19.17 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 30.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | BLACKWELL |
| WORKSITE COUNTY | KAY |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74631 |
