| LCA CASE NUMBER | I-200-19273-711094 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-30 |
| DECISION DATE | 2019-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC TITLE | MEDICAL AND CLINICAL LABORATORY TECHNOLOGIST |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-28 |
| END DATE | 2022-10-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| EMPLOYER ADDRESS1 | 1200 EAST PECAN |
| EMPLOYER CITY | ALTUS |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73521 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5803795000MA |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | POPE |
| EMPLOYER POC FIRST NAME | RICHARD |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT OF HR |
| EMPLOYER POC ADDRESS1 | 1200 EAST PECAN |
| EMPLOYER POC CITY | ALTUS |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73521 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 5803795000MA |
| EMPLOYER POC EMAIL | RICHARDPOPE@JCMH.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | T. |
| AGENT ATTORNEY FIRST NAME | T. |
| AGENT ATTORNEY MIDDLE NAME | DOUGLAS |
| AGENT ATTORNEY ADDRESS1 | 6307 WATERFORD BOULEVARD |
| AGENT ATTORNEY ADDRESS2 | STE. 222 |
| AGENT ATTORNEY CITY | OKLAHOMA CITY |
| AGENT ATTORNEY STATE | OK |
| AGENT ATTORNEY POSTAL CODE | 73118 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 4058790800.0 |
| AGENT ATTORNEY EMAIL ADDRESS | DSTUMP@USVISAGROUP.COM |
| LAWFIRM NAME BUSINESS NAME | STUMP AND ASSOCIATES, PC |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | OKLAHOMA SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 400 E. Chestnut Street |
| LCA CASE WORKLOC1 CITY | Hollis |
| WORKSITE COUNTY | Harmon |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 73550 |
| LCA CASE WAGE RATE FROM | 20.52 |
| LCA CASE WAGE RATE TO | 20.67 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | STUMP |
| PREPARER FIRST NAME | T. |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | STUMP AND ASSOCIATES, PC |
| PREPARER EMAIL | DSTUMP@USVISAGROUP.COM |
