| LCA CASE NUMBER | I-200-21067-129178 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-08 |
| DECISION DATE | 2021-03-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-09 |
| END DATE | 2024-07-08 |
| 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 | Phelps County Regional Medical Center |
| TRADE NAME DBA | Phelps Health |
| EMPLOYER ADDRESS1 | 1000 West 10th Street |
| EMPLOYER CITY | Rolla |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15734587611 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rush |
| EMPLOYER POC FIRST NAME | Christina |
| EMPLOYER POC MIDDLE NAME | Marie |
| EMPLOYER POC JOB TITLE | Privacy and Immigration Specialist |
| EMPLOYER POC ADDRESS 1 | 1000 West 10th Street |
| EMPLOYER POC CITY | Rolla |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 65401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15734587611 |
| EMPLOYER POC EMAIL | crush@phelpshealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gearhart |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Ward |
| AGENT ATTORNEY ADDRESS1 | 600 Washington Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Saint Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13144441394 |
| AGENT ATTORNEY EMAIL ADDRESS | dgearhart@lewisrice.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Rice LLC |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court of Missouri |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1000 West 10th Street |
| LCA CASE WORKLOC1 CITY | Rolla |
| WORKSITE COUNTY | PHELPS |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65401 |
| LCA CASE WAGE RATE FROM | 21.53 |
| LCA CASE WAGE RATE TO | 43.66 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.74 |
| 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 |
