| LCA CASE NUMBER | I-200-21239-550560 |
| 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 | 2021-09-27 |
| END DATE | 2024-09-26 |
| 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 | Phillips County Health Systems |
| TRADE NAME DBA | Phillips County Hospital |
| EMPLOYER ADDRESS1 | 1150 State Street |
| EMPLOYER CITY | Phillipsburg |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67661 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17855404924 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Walk |
| EMPLOYER POC FIRST NAME | Rex |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1150 State Street |
| EMPLOYER POC CITY | Phillipsburg |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67661 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17855404924 |
| EMPLOYER POC EMAIL | rwalk@phillipshospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mdivani |
| AGENT ATTORNEY FIRST NAME | Mira |
| AGENT ATTORNEY ADDRESS1 | 7007 College Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 460 |
| AGENT ATTORNEY CITY | Overland Park |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 66211 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19133176200 |
| AGENT ATTORNEY EMAIL ADDRESS | mmdivani@uslegalimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Mdivani Corporate Immigration Law Firm, LLC |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Supreme Court of the United States |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1150 State Street |
| LCA CASE WORKLOC1 CITY | Phillipsburg |
| WORKSITE COUNTY | PHILLIPS |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67661 |
| LCA CASE WAGE RATE FROM | 54080 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 42328 |
| PW UNIT OF PAY | Year |
| 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 |
