| LCA CASE NUMBER | I-200-20245-798938 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-01 |
| DECISION DATE | 2020-09-09 |
| 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 | 2021-02-01 |
| END DATE | 2024-01-31 |
| 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 | General John J. Pershing Memorial Hospital |
| TRADE NAME DBA | Not Applicable |
| EMPLOYER ADDRESS1 | 130 East Lockling Avenue |
| EMPLOYER CITY | Brookfield |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64628 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16602582222 |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | Ballard |
| EMPLOYER POC FIRST NAME | Katherine |
| EMPLOYER POC JOB TITLE | Laboratory Director |
| EMPLOYER POC ADDRESS1 | 130 East Lockling Avenue |
| EMPLOYER POC CITY | Brookfield |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64628 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16602581165 |
| EMPLOYER POC EMAIL | lab@phsmo.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Cook |
| AGENT ATTORNEY FIRST NAME | Kevin |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 755 |
| AGENT ATTORNEY CITY | Summerville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29484 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18439008726.0 |
| AGENT ATTORNEY EMAIL ADDRESS | klcook7849@verizon.net |
| LAWFIRM NAME BUSINESS NAME | Kevin L. Cook, Esq. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 130 East Lockling Avenue |
| LCA CASE WORKLOC1 CITY | Brookfield |
| WORKSITE COUNTY | LINN |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64628 |
| LCA CASE WAGE RATE FROM | 54662.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 35984.0 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER BUSINESS NAME | Not Applicable |
