| LCA CASE NUMBER | I-200-21047-079770 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-16 |
| DECISION DATE | 2021-02-23 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-22 |
| END DATE | 2024-03-21 |
| 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 | GREAT PLAINS OF REPUBLIC COUNTY, INC. |
| TRADE NAME DBA | REPUBLIC COUNTY HOSPITAL |
| EMPLOYER ADDRESS1 | 2420 G STREET |
| EMPLOYER CITY | BELLEVILLE |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 66935 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17855272254 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | KELLY |
| EMPLOYER POC FIRST NAME | DANIEL |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS 1 | 2420 G STREET |
| EMPLOYER POC CITY | BELLEVILLE |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 66935 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17855276000 |
| EMPLOYER POC EMAIL | dkelly@rphospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Zaritzky |
| AGENT ATTORNEY ADDRESS1 | 201 North 13th Street |
| AGENT ATTORNEY ADDRESS2 | Suite B |
| AGENT ATTORNEY CITY | Lincoln |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68508 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023289899 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | dol@brownimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Brown Immigration Law P.C., L.L.O. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF CALIFORNIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2420 G Street |
| LCA CASE WORKLOC1 CITY | BELLEVILLE |
| WORKSITE COUNTY | REPUBLIC |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66935 |
| LCA CASE WAGE RATE FROM | 21 |
| LCA CASE WAGE RATE TO | 24 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.15 |
| 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 |
