| LCA CASE NUMBER | I-200-21152-357778 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-06-01 |
| DECISION DATE | 2021-07-30 |
| ORIGINAL CERT DATE | 2021-06-08 |
| 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 | 2021-12-01 |
| END DATE | 2024-11-30 |
| 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 | South Bend Medical Foundation Inc. |
| EMPLOYER ADDRESS1 | 530 North Lafayette Blvd |
| EMPLOYER CITY | South Bend |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15742044375 |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | Walsh |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC JOB TITLE | Supervisor of Human Resources |
| EMPLOYER POC ADDRESS1 | 530 North Lafayette Blvd. |
| EMPLOYER POC CITY | South Bend |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15742044375 |
| EMPLOYER POC EMAIL | Jwalsh@sbmf.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Marques |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 2500 One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13176391210 |
| AGENT ATTORNEY EMAIL ADDRESS | Rmarques@lewis-kappes.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Kappes PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | U.S. Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | South Bend Medical Foundation Inc. |
| WORKSITE ADDRESS2 | 530 North Lafayette Blvd. |
| LCA CASE WORKLOC1 CITY | South Bend |
| WORKSITE COUNTY | ST JOSEPH |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46601 |
| LCA CASE WAGE RATE FROM | 51293 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 36421 |
| 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 |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
