| LCA CASE NUMBER | I-200-21260-589913 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-17 |
| DECISION DATE | 2021-09-24 |
| 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 | 2022-03-04 |
| END DATE | 2025-03-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hospital Authority of Jefferson County and the City of Louisville |
| TRADE NAME DBA | Jefferson Hospital |
| EMPLOYER ADDRESS1 | 1067 Peachtree Street |
| EMPLOYER CITY | Louisville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30434 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14786257000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Cooper |
| EMPLOYER POC FIRST NAME | Ali |
| EMPLOYER POC MIDDLE NAME | Watkins |
| EMPLOYER POC JOB TITLE | Laboratory Manager |
| EMPLOYER POC ADDRESS1 | 1067 Peachtree Street |
| EMPLOYER POC CITY | Louisville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30434 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14786257000 |
| EMPLOYER POC PHONE EXT | 1269 |
| EMPLOYER POC EMAIL | acooper@jeffersonhosp.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1067 Peachtree Street |
| LCA CASE WORKLOC1 CITY | Louisville |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30434 |
| LCA CASE WAGE RATE FROM | 15.94 |
| LCA CASE WAGE RATE TO | 19.74 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 15.94 |
| 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 |
