\ H1B CASE NUMBER I-200-21083-171765



CASE NUNBER: I-200-21083-171765

LCA CASE NUMBERI-200-21083-171765
STATUSCertified
LCA CASE SUBMIT2021-03-24
DECISION DATE2021-03-31
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 DATE2021-04-20
END DATE2024-04-19
TOTAL WORKER POSITIONS3
NEW EMPLOYMENT3
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEHumboldt General Hospital
EMPLOYER ADDRESS1118 EAST HASKELL ST.
EMPLOYER CITYWINNEMUCCA
EMPLOYER STATENV
EMPLOYER POSTAL CODE89445
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE17756235222
NAICS CODE622110
EMPLOYER POC LAST NAMERabanes
EMPLOYER POC FIRST NAMECrisanti
EMPLOYER POC JOB TITLELaboratory Director
EMPLOYER POC ADDRESS 1118 EAST HASKELL ST.
EMPLOYER POC CITYWINNEMUCCA
EMPLOYER POC STATENV
EMPLOYER POC POSTAL CODE89445
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE17756235222
EMPLOYER POC EMAILrabanesc@outlook.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKoren
AGENT ATTORNEY FIRST NAMEGali
AGENT ATTORNEY ADDRESS1PO Box 53036
AGENT ATTORNEY CITYIrvine
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE92619
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE19496238707
AGENT ATTORNEY EMAIL ADDRESSgali@korenimmigration.com
LAWFIRM NAME BUSINESS NAMELaw Offices of Gali Koren
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSupreme Court of California
WORKSITE WORKERS3
SECONDARY ENTITYFalse
WORKSITE ADDRESS1118 EAST HASKELL ST.
LCA CASE WORKLOC1 CITYWINNEMUCCA
WORKSITE COUNTYHUMBOLDT
LCA CASE WORKLOC1 STATENV
WORKSITE POSTAL CODE89445
LCA CASE WAGE RATE FROM34
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE30.77
PW UNIT OF PAYHour
PW WAGE LEVELIII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEKoren
PREPARER FIRST NAMEGali
PREPARER BUSINESS NAMELaw Offices of Gali Koren
PREPARER EMAILgali@korenimmigration.com