| LCA CASE NUMBER | I-200-18110-621265 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/24/18 |
| DECISION DATE | 4/30/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 5/8/18 |
| EMPLOYMENT END DATE | 5/8/21 |
| LCA CASE EMPLOYER NAME | MEDICINE LODGE MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS | 710 N WALNUT ST. |
| EMPLOYER CITY | MEDICINE LODGE |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6209303716 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | FORD, JORDAN |
| AGENT ATTORNEY CITY | WICHITA |
| AGENT ATTORNEY STATE | KS |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 62211 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 22.33 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 23.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | MEDICINE LODGE |
| WORKSITE COUNTY | BARBER |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 37104 |
