\ H1B CASE NUMBER I-200-21029-042541



CASE NUNBER: I-200-21029-042541

LCA CASE NUMBERI-200-21029-042541
STATUSWithdrawn
LCA CASE SUBMIT2021-01-29
DECISION DATE2021-01-29
VISA CLASSH-1B
LCA CASE JOB TITLEMedical Technologist
SOC CODE29-2011.00
SOC TITLEMedical and Clinical Laboratory Technologists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-03-02
END DATE2024-03-01
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEThe Mary Imogene Bassett Hospital
EMPLOYER ADDRESS1One Atwell Road
EMPLOYER CITYCooperstown
EMPLOYER STATENY
EMPLOYER POSTAL CODE13326
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE16075474937
NAICS CODE622110
EMPLOYER POC LAST NAMEKinzelmann
EMPLOYER POC FIRST NAMEHannah
EMPLOYER POC JOB TITLEHuman Resources Generalist
EMPLOYER POC ADDRESS 1One Atwell Road
EMPLOYER POC CITYCooperstown
EMPLOYER POC STATENY
EMPLOYER POC POSTAL CODE13326
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE16075473764
EMPLOYER POC EMAILHannah.Kinzelmann@bassett.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMENew
AGENT ATTORNEY FIRST NAMECourtney
AGENT ATTORNEY MIDDLE NAMEHarrison
AGENT ATTORNEY ADDRESS11300 Clinton Square
AGENT ATTORNEY CITYRochester
AGENT ATTORNEY STATENY
AGENT ATTORNEY POSTAL CODE14604
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14014541116
AGENT ATTORNEY EMAIL ADDRESScnew@nixonpeabody.com
LAWFIRM NAME BUSINESS NAMENixon Peabody LLP
STATE OF HIGHEST COURTMA
NAME OF HIGHEST STATE COURTSupreme Judicial Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1One Atwell Road
LCA CASE WORKLOC1 CITYCooperstown
WORKSITE COUNTYOTSEGO
LCA CASE WORKLOC1 STATENY
WORKSITE POSTAL CODE13326
LCA CASE WAGE RATE FROM27
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE15.95
PW UNIT OF PAYHour
PW WAGE LEVELI
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEThompson
PREPARER FIRST NAMEBrianna
PREPARER BUSINESS NAMENixon Peabody LLP
PREPARER EMAILbthompson@nixonpeabody.com