| LCA CASE NUMBER | I-200-21134-315492 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-14 |
| DECISION DATE | 2021-05-21 |
| 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 | 2021-08-13 |
| END DATE | 2024-08-12 |
| 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 | Memorial Hospital of Carbon County |
| EMPLOYER ADDRESS1 | 2221 West Elm Street |
| EMPLOYER CITY | Rawlins |
| EMPLOYER STATE | WY |
| EMPLOYER POSTAL CODE | 82301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13073242221 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hickman |
| EMPLOYER POC FIRST NAME | Aimee |
| EMPLOYER POC JOB TITLE | Human Resources Specialist |
| EMPLOYER POC ADDRESS 1 | 2221 West Elm Street |
| EMPLOYER POC CITY | Rawlins |
| EMPLOYER POC STATE | WY |
| EMPLOYER POC POSTAL CODE | 82301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13073248375 |
| EMPLOYER POC EMAIL | ahickman@imhcc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 5125 County Road 101 |
| AGENT ATTORNEY ADDRESS2 | Suite 106 |
| AGENT ATTORNEY CITY | Minnetonka |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55345 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Minnesota |
| AGENT ATTORNEY PHONE | 16122055494 |
| AGENT ATTORNEY EMAIL ADDRESS | bbruner@brunerlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Bruner Law Group, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2221 West Elm Street |
| LCA CASE WORKLOC1 CITY | Rawlins |
| WORKSITE COUNTY | CARBON |
| LCA CASE WORKLOC1 STATE | WY |
| WORKSITE POSTAL CODE | 82301 |
| LCA CASE WAGE RATE FROM | 55972.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 51480 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | P-100-20220-756432 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
