| LCA CASE NUMBER | I-200-21085-177772 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-26 |
| DECISION DATE | 2021-04-02 |
| 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 | 2021-07-06 |
| END DATE | 2024-07-05 |
| 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 | Mount Desert Island Hospital |
| EMPLOYER ADDRESS1 | 10 Wayman Lane |
| EMPLOYER CITY | Bar Harbor |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4609 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12072885081 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Billings |
| EMPLOYER POC FIRST NAME | Ben |
| EMPLOYER POC JOB TITLE | HR & Wellness Manager |
| EMPLOYER POC ADDRESS 1 | 10 Wayman Lane |
| EMPLOYER POC CITY | Bar Harbor |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04609 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12072885081 |
| EMPLOYER POC EMAIL | ben.billings@mdihospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Huang |
| AGENT ATTORNEY FIRST NAME | Jing |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119 |
| AGENT ATTORNEY EMAIL ADDRESS | jing@sivisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10 Wayman Lane |
| LCA CASE WORKLOC1 CITY | Bar Harbor |
| WORKSITE COUNTY | BAR HARBOR TOWN |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4609 |
| LCA CASE WAGE RATE FROM | 25.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 22.93 |
| 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 | Huang |
| PREPARER FIRST NAME | Jing |
| PREPARER BUSINESS NAME | Sivaraman Immigration Law |
| PREPARER EMAIL | jing@sivisalaw.com |
