| LCA CASE NUMBER | I-200-21229-528299 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-17 |
| DECISION DATE | 2021-08-24 |
| 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 | 2021-11-16 |
| END DATE | 2024-11-15 |
| 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 | LAVACA HOSPITAL DISTRICT |
| TRADE NAME DBA | LAVACA MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 1400 NORTH TEXANA |
| EMPLOYER CITY | HALLETTSVILLE |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77964 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13617983671 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BOWEN |
| EMPLOYER POC FIRST NAME | JACK |
| EMPLOYER POC MIDDLE NAME | STEPHEN |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 1400 NORTH TEXANA |
| EMPLOYER POC CITY | HALLETTSVILLE |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77964 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13617983671 |
| EMPLOYER POC EMAIL | SBOWEN@LAVACAMEDCEN.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | JURISPRUDENCIA |
| AGENT ATTORNEY FIRST NAME | MELVYN |
| AGENT ATTORNEY MIDDLE NAME | SANTIBANEZ |
| AGENT ATTORNEY ADDRESS1 | PO BOX 683005 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77268 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17138994994 |
| AGENT ATTORNEY EMAIL ADDRESS | ATTYJ@HOTMAIL.COM |
| LAWFIRM NAME BUSINESS NAME | JURISPRUDENCIA LAW OFFICE |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1400 NORTH TEXANA |
| LCA CASE WORKLOC1 CITY | HALLETTSVILLE |
| WORKSITE COUNTY | LAVACA |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77964 |
| LCA CASE WAGE RATE FROM | 25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 17.94 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
