| LCA CASE NUMBER | I-200-21053-091821 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-22 |
| DECISION DATE | 2021-03-01 |
| 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 | 2021-02-26 |
| END DATE | 2024-02-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Southern Illinois Hospital Services |
| EMPLOYER ADDRESS1 | 1239 East Main Street |
| EMPLOYER CITY | Carbondale |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16184575200 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Henderson |
| EMPLOYER POC FIRST NAME | Pamela |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS 1 | 2 Nutrition Plaza Drive |
| EMPLOYER POC CITY | Carbondale |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16184575200 |
| EMPLOYER POC EMAIL | pam.henderson@sih.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Coenen |
| AGENT ATTORNEY FIRST NAME | Nicholas |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 332 S Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1428 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123419730 |
| AGENT ATTORNEY EMAIL ADDRESS | nicholasjc@klc-ltd.com |
| LAWFIRM NAME BUSINESS NAME | Kempster, Corcoran, Quiceno & Lenz-Calvo, Ltd. |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 405 W Jackson Street |
| LCA CASE WORKLOC1 CITY | Carbondale |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62901 |
| LCA CASE WAGE RATE FROM | 20.88 |
| LCA CASE WAGE RATE TO | 30.98 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.08 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
