| LCA CASE NUMBER | I-200-21362-790099 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-28 |
| DECISION DATE | 2022-01-05 |
| 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 | 2022-03-24 |
| END DATE | 2025-03-23 |
| 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 | Stevens County Healthcare |
| EMPLOYER ADDRESS1 | 1006 S. Jackson St. |
| EMPLOYER CITY | Hugoton |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67951 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16205448511 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mangels |
| EMPLOYER POC FIRST NAME | Diane |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 1006 S. Jackson St. |
| EMPLOYER POC CITY | Hugoton |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67951 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16205448511 |
| EMPLOYER POC EMAIL | dmangels@stevenscountyhospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Perez |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | Janeth |
| AGENT ATTORNEY ADDRESS1 | 2800 N. Central Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 1720 |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16023964996 |
| AGENT ATTORNEY EMAIL ADDRESS | cynthia.perez@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, PLLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1006 S. Jackson St. |
| LCA CASE WORKLOC1 CITY | Hugoton |
| WORKSITE COUNTY | STEVENS |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67951 |
| LCA CASE WAGE RATE FROM | 25.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 20.35 |
| 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 |
