| LCA CASE NUMBER | I-200-21261-592388 |
| 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 | 2022-02-01 |
| END DATE | 2025-01-31 |
| 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 | NORTHERN COCHISE COMMUNITY HOSPITAL, INC. |
| EMPLOYER ADDRESS1 | 901 W. Rex Allen Drive |
| EMPLOYER CITY | Willcox |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85643 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15207666494 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Fulton |
| EMPLOYER POC FIRST NAME | Kerri-Lee |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 901 W. Rex Allen Drive |
| EMPLOYER POC CITY | Willcox |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85643 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15207666494 |
| EMPLOYER POC EMAIL | kfulton@ncch.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leung |
| AGENT ATTORNEY FIRST NAME | Jared |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 3200 N. Hayden Road |
| AGENT ATTORNEY ADDRESS2 | Ste 320 |
| AGENT ATTORNEY CITY | Scottsdale |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85251 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16026759486 |
| AGENT ATTORNEY EMAIL ADDRESS | jleung@jclimmigration.com |
| LAWFIRM NAME BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 901 W. Rex Allen Drive |
| LCA CASE WORKLOC1 CITY | Willcox |
| WORKSITE COUNTY | COCHISE |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85643 |
| LCA CASE WAGE RATE FROM | 33 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.92 |
| 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 |
| PREPARER LAST NAME | Frost |
| PREPARER FIRST NAME | Amanda |
| PREPARER BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| PREPARER EMAIL | afrost@jclimmigration.com |
