| LCA CASE NUMBER | I-200-20220-757131 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-07 |
| DECISION DATE | 2020-08-14 |
| 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 | 2021-01-22 |
| END DATE | 2024-01-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pushmataha County City of Antlers Hospital Authority |
| TRADE NAME DBA | Pushmataha Hospital |
| EMPLOYER ADDRESS1 | 510 E. Main St. |
| EMPLOYER ADDRESS2 | P.O. Box 518 |
| EMPLOYER CITY | Antlers |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74523 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15802983341 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Matcham |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC JOB TITLE | Controller/HR |
| EMPLOYER POC ADDRESS1 | 510 E. Main St. |
| EMPLOYER POC ADDRESS2 | P.O. Box 518 |
| EMPLOYER POC CITY | Antlers |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 74523 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15802983341 |
| EMPLOYER POC EMAIL | bob.matcham@pushhospital.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Tungol |
| AGENT ATTORNEY FIRST NAME | Renato |
| AGENT ATTORNEY MIDDLE NAME | Dumagan |
| AGENT ATTORNEY ADDRESS1 | 7705 Farmingdale Drive |
| AGENT ATTORNEY CITY | Darien |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60561 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16309208983.0 |
| AGENT ATTORNEY EMAIL ADDRESS | raytungol@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Tungol Law Office |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 510 E. Main St. |
| LCA CASE WORKLOC1 CITY | Antlers |
| WORKSITE COUNTY | PUSHMATAHA |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74523 |
| LCA CASE WAGE RATE FROM | 21.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 18.06 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
