| LCA CASE NUMBER | I-200-21281-634680 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-08 |
| DECISION DATE | 2021-10-18 |
| 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 | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Cambridge Memorial Hospital, Inc. |
| TRADE NAME DBA | Tri Valley Health System |
| EMPLOYER ADDRESS1 | 1305 Highway 6 & 34 |
| EMPLOYER CITY | Cambridge |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 69022 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13086973329 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Jordan |
| EMPLOYER POC FIRST NAME | Clay |
| EMPLOYER POC JOB TITLE | Chief Nursing Officer |
| EMPLOYER POC ADDRESS1 | 1305 Highway 6 & 34 |
| EMPLOYER POC CITY | Cambridge |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 69022 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13086971130 |
| EMPLOYER POC EMAIL | clay.jordan@trivalleyhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 350 Highway 7 |
| AGENT ATTORNEY ADDRESS2 | Suite 140 |
| AGENT ATTORNEY CITY | Excelsior |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55331 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Minnesota |
| AGENT ATTORNEY PHONE | 16122055494 |
| AGENT ATTORNEY EMAIL ADDRESS | bbruner@brunerlawgroup.com |
|
| LAWFIRM NAME BUSINESS NAME | Bruner Law Group, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1305 Highway 6 & 34 |
| LCA CASE WORKLOC1 CITY | Cambridge |
| WORKSITE COUNTY | FURNAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 69022 |
| LCA CASE WAGE RATE FROM | 60320 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 47736 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
