| LCA CASE NUMBER | I-200-21280-631374 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-07 |
| DECISION DATE | 2021-10-15 |
| 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 | False |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hospital Authority of Wilkes County |
| TRADE NAME DBA | Wills Memorial Hospital |
| EMPLOYER ADDRESS1 | 120 Gordon St. |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30673 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17066782151 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Pope |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC MIDDLE NAME | Duncan |
| EMPLOYER POC JOB TITLE | Human Resource Director |
| EMPLOYER POC ADDRESS1 | 120 Gordon St. |
| EMPLOYER POC CITY | Washington |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30673 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17066789213 |
| EMPLOYER POC EMAIL | spope@willsmemorialhospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | TUNGOL |
| AGENT ATTORNEY FIRST NAME | RENATO |
| AGENT ATTORNEY MIDDLE NAME | DUMAGAN |
| AGENT ATTORNEY ADDRESS1 | 7705 FARMINGDALE DR |
| AGENT ATTORNEY CITY | DARIEN |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60561 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16309208983 |
| AGENT ATTORNEY EMAIL ADDRESS | raytungol@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Tungol Law Office |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 120 Gordon St. |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | WILKES |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30673 |
| LCA CASE WAGE RATE FROM | 24 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.74 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
