| LCA CASE NUMBER | I-200-20074-407595 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-14 |
| DECISION DATE | 2020-03-20 |
| 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 | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-15 |
| END DATE | 2023-04-14 |
| 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 | Pella Regional Health Center |
| EMPLOYER ADDRESS1 | 404 Jefferson St |
| EMPLOYER CITY | Pella |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16416286697 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Greene |
| EMPLOYER POC FIRST NAME | Bubby |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS1 | 404 Jefferson St |
| EMPLOYER POC CITY | Pella |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16416286697 |
| EMPLOYER POC EMAIL | bgreene@pellahealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 5125 County Road 101, Ste 106 |
| AGENT ATTORNEY CITY | Minnetonka |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55345 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16122055494.0 |
| AGENT ATTORNEY EMAIL ADDRESS | bbruner@brunerlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | BRUNER LAW GROUP, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 404 Jefferson St |
| LCA CASE WORKLOC1 CITY | Pella |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50219 |
| LCA CASE WAGE RATE FROM | 52465.92 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41350.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
