| LCA CASE NUMBER | I-200-21291-651041 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-18 |
| DECISION DATE | 2021-10-25 |
| 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 | 2022-03-15 |
| END DATE | 2025-03-14 |
| 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 | Winslow Memorial Hospital, Inc. |
| TRADE NAME DBA | Little Colorado Medical Center |
| EMPLOYER ADDRESS1 | 1501 N Williamson Ave. |
| EMPLOYER CITY | Winslow |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 86047 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19282894691 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Armijo |
| EMPLOYER POC FIRST NAME | Kristy |
| EMPLOYER POC MIDDLE NAME | Lynn |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 1501 N Williamson Ave. |
| EMPLOYER POC CITY | Winslow |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 86047 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19282894691 |
| EMPLOYER POC EMAIL | karmijo@lcmcwmh.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 | 1501 N Williamson Ave. |
| LCA CASE WORKLOC1 CITY | Winslow |
| WORKSITE COUNTY | NAVAJO |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 86047 |
| LCA CASE WAGE RATE FROM | 30.59 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.64 |
| 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 |
