| LCA CASE NUMBER | I-200-21077-155846 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-18 |
| DECISION DATE | 2021-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST I |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-01 |
| END DATE | 2024-03-31 |
| 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 | DIAGNOSTIC LABORATORY SERVICES, INC. |
| TRADE NAME DBA | DIAGNOSTIC LABORATORY SERVICES |
| EMPLOYER ADDRESS1 | 99-859 IWAIWA STREET |
| EMPLOYER CITY | AIEA |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18085895100 |
| NAICS CODE | 62151 |
| EMPLOYER POC LAST NAME | WASIELEWSKI |
| EMPLOYER POC FIRST NAME | MARK |
| EMPLOYER POC MIDDLE NAME | ALAN |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS 1 | 99-859 IWAIWA STREET |
| EMPLOYER POC CITY | AIEA |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18085895185 |
| EMPLOYER POC EMAIL | MMCCONNELL@DLSLAB.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | UEOKA |
| AGENT ATTORNEY FIRST NAME | ROBERT |
| AGENT ATTORNEY MIDDLE NAME | ARTHUR |
| AGENT ATTORNEY ADDRESS1 | 1000 BISHOP STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 503 |
| AGENT ATTORNEY CITY | HONOLULU |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18085373500 |
| AGENT ATTORNEY EMAIL ADDRESS | ROBERT@BISHOPSTREETLAW.COM |
| LAWFIRM NAME BUSINESS NAME | BISHOP STREET LAW GROUP |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE STATE OF HAWAII |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1301 PUNCHBOWL STREET |
| WORKSITE ADDRESS2 | NALANI IV |
| LCA CASE WORKLOC1 CITY | HONOLULU |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96813 |
| LCA CASE WAGE RATE FROM | 28 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.16 |
| 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 |
| PREPARER LAST NAME | UEOKA |
| PREPARER FIRST NAME | ROBERT |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | BISHOP STREET LAW GROUP |
| PREPARER EMAIL | ROBERT@BISHOPSTREETLAW.COM |
