| LCA CASE NUMBER | I-200-21222-511520 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-09 |
| DECISION DATE | 2021-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CLINICAL LABORATORY TECHNOLOGIST |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-07 |
| END DATE | 2024-09-06 |
| 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 | NORTHWELL HEALTH |
| EMPLOYER ADDRESS1 | 2000 MARCUS AVENUE |
| EMPLOYER CITY | NEW HYDE PARK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15165175015 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | MELBOURNE |
| EMPLOYER POC FIRST NAME | KALA |
| EMPLOYER POC JOB TITLE | ADVISOR, HR |
| EMPLOYER POC ADDRESS1 | 1111 MARCUS AVENUE, SUITE M21 |
| EMPLOYER POC ADDRESS2 | ENTRANCE 5 |
| EMPLOYER POC CITY | Lake Success |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15165175015 |
| EMPLOYER POC EMAIL | kmelbourne@northwell.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FISHER |
| AGENT ATTORNEY FIRST NAME | THEDA |
| AGENT ATTORNEY ADDRESS1 | 430 PARK AVENUE |
| AGENT ATTORNEY ADDRESS2 | 10TH FLOOR |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10022 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128489886 |
| AGENT ATTORNEY EMAIL ADDRESS | Theda.Fisher@withersworldwide.com |
| LAWFIRM NAME BUSINESS NAME | WITHERS BERGMAN LLP |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 450 LAKVILLE ROAD |
| LCA CASE WORKLOC1 CITY | LAKE SUCCESS |
| WORKSITE COUNTY | NASSAU |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11042 |
| LCA CASE WAGE RATE FROM | 43.86 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 39.63 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| 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 |
