| LCA CASE NUMBER | I-200-21336-740862 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-02 |
| DECISION DATE | 2021-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist II |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-04 |
| END DATE | 2025-03-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Memorial Hospital West Volusia, Inc. |
| TRADE NAME DBA | AdventHealth Deland |
| EMPLOYER ADDRESS1 | 701 W. Plymouth Ave |
| EMPLOYER CITY | Deland |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32720 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14072002511 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Pattison |
| EMPLOYER POC FIRST NAME | Lauren |
| EMPLOYER POC JOB TITLE | Immigration Coordinator, International Recruitment |
| EMPLOYER POC ADDRESS1 | 900 HOPE WAY |
| EMPLOYER POC CITY | ALTAMONTE SPRINGS |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32714 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14077765135 |
| EMPLOYER POC EMAIL | LAUREN.PATTISON@ADVENTHEALTH.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GAVICA PEREZ |
| AGENT ATTORNEY FIRST NAME | DENISE |
| AGENT ATTORNEY ADDRESS1 | 98 SE 7 STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 1100 |
| AGENT ATTORNEY CITY | MIAMI |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13059825638 |
| AGENT ATTORNEY EMAIL ADDRESS | JESSICA.TRUJILLO@AKERMAN.COM |
| LAWFIRM NAME BUSINESS NAME | AKERMAN LLP |
| STATE OF HIGHEST COURT | FL |
|
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 701 W. Plymouth Ave |
| LCA CASE WORKLOC1 CITY | Deland |
| WORKSITE COUNTY | VOLUSIA |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 37720 |
| LCA CASE WAGE RATE FROM | 58219 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 51147 |
| PW UNIT OF PAY | Year |
| 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 |
