| LCA CASE NUMBER | I-200-21093-195502 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-03 |
| DECISION DATE | 2021-04-09 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Irwin County Hospital Authority |
| TRADE NAME DBA | Irwin County Hospital |
| EMPLOYER ADDRESS1 | 710 N Irwin Ave. |
| EMPLOYER CITY | Ocilla |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31774 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12294683800 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Edwards |
| EMPLOYER POC FIRST NAME | Becky |
| EMPLOYER POC JOB TITLE | HR Mamanger |
| EMPLOYER POC ADDRESS 1 | 710 N Irwin Ave. |
| EMPLOYER POC CITY | Ocilla |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31774 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12294683863 |
| EMPLOYER POC EMAIL | bedwards@irwincntyhospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | TUNGOL |
| AGENT ATTORNEY FIRST NAME | RENATO |
| AGENT ATTORNEY MIDDLE NAME | DUMAGAN |
| AGENT ATTORNEY ADDRESS1 | 7705 Farmingdale Drive |
| AGENT ATTORNEY CITY | DARIEN |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60561 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16309208983 |
| AGENT ATTORNEY EMAIL ADDRESS | raytungol@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Tungol Law Office |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 710 N Irwin Ave. |
| LCA CASE WORKLOC1 CITY | Ocilla |
| WORKSITE COUNTY | IRWIN |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31774 |
| LCA CASE WAGE RATE FROM | 25.8 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.64 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 |
