| LCA CASE NUMBER | I-200-21239-549733 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-27 |
| DECISION DATE | 2021-09-03 |
| 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 | 2021-10-04 |
| END DATE | 2024-10-03 |
| 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 | DIMMIT REGIONAL HOSPITAL |
| EMPLOYER ADDRESS1 | 704 HOSPITAL DRIVE |
| EMPLOYER CITY | CARRIZO SPRINGS |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78834 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18308762424 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | GRAVES |
| EMPLOYER POC FIRST NAME | JOHN |
| EMPLOYER POC JOB TITLE | CEO/ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 704 HOSPITAL DRIVE |
| EMPLOYER POC CITY | CARRIZO SPRINGS |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78834 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18308762424 |
| EMPLOYER POC PHONE EXT | 302 |
| EMPLOYER POC EMAIL | jgraves@dimmitregional.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GATES |
| AGENT ATTORNEY FIRST NAME | DAVID |
| AGENT ATTORNEY MIDDLE NAME | ROSELLO |
| AGENT ATTORNEY ADDRESS1 | 54 W 40TH ST |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17189816112 |
| AGENT ATTORNEY EMAIL ADDRESS | david@dgatesesq.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF DAVID R GATES, PLLC |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 704 HOSPITAL DRIVE |
| LCA CASE WORKLOC1 CITY | CARRIZO SPRINGS |
| WORKSITE COUNTY | DIMMIT |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78834 |
| LCA CASE WAGE RATE FROM | 29.72 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 22.02 |
| 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 |
