| LCA CASE NUMBER | I-200-21293-655920 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-20 |
| DECISION DATE | 2021-10-27 |
| 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 | 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 | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PHC- Los Alamos Inc. |
| TRADE NAME DBA | d/b/a Los Alamos Medical Center |
| EMPLOYER ADDRESS1 | 3917 West Road |
| EMPLOYER CITY | Los Alamos |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 87544 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15056619500 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Carroll |
| EMPLOYER POC FIRST NAME | Jacqueline |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 3917 West Road |
| EMPLOYER POC CITY | Los Alamos |
| EMPLOYER POC STATE | NM |
| EMPLOYER POC POSTAL CODE | 87544 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15056619500 |
| EMPLOYER POC EMAIL | Jacqui.Carroll@LPNT.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY EMAIL ADDRESS | vinh.duong@wallerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
|
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3917 West Road |
| LCA CASE WORKLOC1 CITY | Los Alamos |
| WORKSITE COUNTY | LOS ALAMOS |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 87544 |
| LCA CASE WAGE RATE FROM | 22.16 |
| LCA CASE WAGE RATE TO | 37.48 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 22.16 |
| 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 |
| PREPARER LAST NAME | Rubio / 16869 |
| PREPARER FIRST NAME | Josie |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | Waller Lansden Dortch and Davis, LLP |
| PREPARER EMAIL | josie.rubio@wallerlaw.com |
