| LCA CASE NUMBER | I-200-21119-268731 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-28 |
| DECISION DATE | 2021-05-05 |
| 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 | 2021-05-17 |
| END DATE | 2024-05-16 |
| 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 | COMMUNITY HOSPITAL |
| EMPLOYER ADDRESS1 | 901 MACARTHUR BLVD. |
| EMPLOYER CITY | MUNSTER |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46321 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12198366727 |
| EMPLOYER PHONE EXT | 1467 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Brandt |
| EMPLOYER POC FIRST NAME | Debbie |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS 1 | 901 MACARTHUR BLVD. |
| EMPLOYER POC CITY | MUNSTER |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46321 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12198366727 |
| EMPLOYER POC PHONE EXT | 1467 |
| EMPLOYER POC EMAIL | DBRANDT@COMHS.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Resendez |
| AGENT ATTORNEY FIRST NAME | Tomas |
| AGENT ATTORNEY ADDRESS1 | 5080 Spectrum Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 850W |
| AGENT ATTORNEY CITY | Addison |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19722336646 |
| AGENT ATTORNEY EMAIL ADDRESS | tResendez@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
|
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 901 MacArthur Blvd. |
| LCA CASE WORKLOC1 CITY | Munster |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46321 |
| LCA CASE WAGE RATE FROM | 55952 |
| LCA CASE WAGE RATE TO | 84011.2 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 41725 |
| PW UNIT OF PAY | Year |
| 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 | Torres |
| PREPARER FIRST NAME | Valerie |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN, & LOEWY, LLP |
| PREPARER EMAIL | vtorres@fragomen.com |
