| LCA CASE NUMBER | I-200-21194-458686 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-13 |
| DECISION DATE | 2021-07-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-14 |
| END DATE | 2024-07-13 |
| 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 | Northwood Deaconess Health Center |
| EMPLOYER ADDRESS1 | 4 North Park Street |
| EMPLOYER CITY | Northwood |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58267 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17015876060 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Nelson |
| EMPLOYER POC FIRST NAME | Peggy |
| EMPLOYER POC JOB TITLE | Laboratory Manager |
| EMPLOYER POC ADDRESS1 | 4 North Park Street |
| EMPLOYER POC CITY | Northwood |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58267 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17015875889 |
| EMPLOYER POC EMAIL | peggy.nelson@ndhc.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Perez |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 4221 Wilshire Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 394 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13232030922 |
| AGENT ATTORNEY EMAIL ADDRESS | cynthia.perez@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, LLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4 North Park Street |
| LCA CASE WORKLOC1 CITY | Northwood |
| WORKSITE COUNTY | GRAND FORKS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58267 |
| LCA CASE WAGE RATE FROM | 28 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 26.94 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
