| LCA CASE NUMBER | I-200-21008-002565 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-08 |
| DECISION DATE | 2021-01-15 |
| 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 | False |
| LCA CASE EMPLOYMENT START DATE | 2021-05-01 |
| END DATE | 2024-04-30 |
| 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 | Choctaw County City of Hugo Hospital Authority |
| TRADE NAME DBA | Choctaw Memorial Hospital |
| EMPLOYER ADDRESS1 | 1405 E. Kirk St. |
| EMPLOYER CITY | Hugo |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74743 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15803179500 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Payne |
| EMPLOYER POC FIRST NAME | Kristin |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 1405 E. Kirk St. |
| EMPLOYER POC CITY | Hugo |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 74743 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15803179500 |
| EMPLOYER POC PHONE EXT | 295 |
| EMPLOYER POC EMAIL | k.payne@choctawmemorial.com |
| AGENT REPRESENTING EMPLOYER | True |
| 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 |
| 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 | False |
| WORKSITE ADDRESS1 | 1405 E. Kirk St. |
| LCA CASE WORKLOC1 CITY | Hugo |
| WORKSITE COUNTY | CHOCTAW |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74743 |
| LCA CASE WAGE RATE FROM | 21 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
