| LCA CASE NUMBER | I-200-21286-641725 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-13 |
| DECISION DATE | 2021-10-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| 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 | Union General Hospital, Inc |
| TRADE NAME DBA | UNION GENERAL HOSPITAL |
| EMPLOYER ADDRESS1 | 35 Hospital Road |
| EMPLOYER CITY | Blairsville` |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30512 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17064396490 |
| EMPLOYER PHONE EXT | 6449 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Barnett |
| EMPLOYER POC FIRST NAME | Julia |
| EMPLOYER POC JOB TITLE | Chief Nursing Officer |
| EMPLOYER POC ADDRESS1 | 35 Hospital Road |
| EMPLOYER POC CITY | Blairsville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30512 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17064396490 |
| EMPLOYER POC PHONE EXT | 6449 |
| EMPLOYER POC EMAIL | juliabarnett@uniongeneral.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 35 Hospital Road |
| LCA CASE WORKLOC1 CITY | Blairsville |
| WORKSITE COUNTY | UNION |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30512 |
| LCA CASE WAGE RATE FROM | 25.38 |
| LCA CASE WAGE RATE TO | 28.22 |
| LCA CASE WAGE RATE UNIT | Hour |
|
| PREVAILING WAGE | 25.38 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
| PREPARER LAST NAME | MURPHY |
| PREPARER FIRST NAME | MARY |
| PREPARER BUSINESS NAME | UNION GENERAL HOSPITAL |
| PREPARER EMAIL | marymurphy@uniongeneral.org |
