| LCA CASE NUMBER | I-200-21125-288868 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-12 |
| 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 | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | OLNEY HAMILTON HOSPITAL |
| TRADE NAME DBA | HAMILTON HOSPITAL |
| EMPLOYER ADDRESS1 | 901 WEST HAMILTON STREET |
| EMPLOYER CITY | OLNEY |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76374 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19405645521 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MOORE |
| EMPLOYER POC FIRST NAME | AMY |
| EMPLOYER POC MIDDLE NAME | MICHELLE |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HUMAN RESOURCES |
| EMPLOYER POC ADDRESS 1 | 901 WEST HAMILTON STREET |
| EMPLOYER POC CITY | OLNEY |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76374 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19405645521 |
| EMPLOYER POC EMAIL | AMOORE@OLNEYHH.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | HAOS |
| AGENT ATTORNEY FIRST NAME | JOSELITO |
| AGENT ATTORNEY MIDDLE NAME | CINCO |
| AGENT ATTORNEY ADDRESS1 | 5206 HARVARD STREET |
| AGENT ATTORNEY CITY | LUBBOCK |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 79416-1217 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18067874121 |
| AGENT ATTORNEY EMAIL ADDRESS | jocshaos@gmail.com |
| LAWFIRM NAME BUSINESS NAME | JOSELITO C HAOS ESQ |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELATE DIVISION OF THE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 901 W Hamilton St |
| LCA CASE WORKLOC1 CITY | Olney |
| WORKSITE COUNTY | YOUNG |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76374 |
| LCA CASE WAGE RATE FROM | 26 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.1 |
| 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 and Employment |
