| LCA CASE NUMBER | I-200-21274-620397 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-01 |
| DECISION DATE | 2021-10-08 |
| 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 | 2022-01-01 |
| END DATE | 2024-12-31 |
| 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 | Great Plains of Cheyenne Co., Inc. |
| EMPLOYER ADDRESS1 | 210 W 1st Street |
| EMPLOYER CITY | Saint Francis |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67756 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17853322104 |
| EMPLOYER PHONE EXT | 116 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Andrist |
| EMPLOYER POC FIRST NAME | Kelsey |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 210 W 1st Street |
| EMPLOYER POC CITY | Saint Francis |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67756 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17853322104 |
| EMPLOYER POC PHONE EXT | 116 |
| EMPLOYER POC EMAIL | kandrist@cheyennecountyhospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Curley |
| AGENT ATTORNEY FIRST NAME | MARK |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 11128 JOHN GALT BLVD |
| AGENT ATTORNEY ADDRESS2 | SUITE 104 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68137 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14027338989 |
| AGENT ATTORNEY EMAIL ADDRESS | MJCURLEY@CURLEYLAWOFFICE.COM |
| LAWFIRM NAME BUSINESS NAME | Curley Immigration Law PC LLO |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 210 W. 1st St |
| LCA CASE WORKLOC1 CITY | Saint Francis |
| WORKSITE COUNTY | CHEYENNE |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67756 |
| LCA CASE WAGE RATE FROM | 25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.07 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
