| LCA CASE NUMBER | I-200-23300-460914 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-10-27 |
| DECISION DATE | 2023-11-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Charge Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-04-01 |
| END DATE | 2027-04-01 |
| 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 | Interstaff Inc |
| TRADE NAME DBA | Interstaff |
| EMPLOYER ADDRESS1 | 16107 Kensington Drive |
| EMPLOYER ADDRESS2 | 140 |
| EMPLOYER CITY | Sugar Land |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77479 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17139802500 |
| NAICS CODE | 561330 |
| EMPLOYER POC LAST NAME | Mondragon |
| EMPLOYER POC FIRST NAME | Araceli |
| EMPLOYER POC MIDDLE NAME | Grier |
| EMPLOYER POC JOB TITLE | Director of Immigration |
| EMPLOYER POC ADDRESS1 | 16107 Kensington Drive |
| EMPLOYER POC ADDRESS2 | 140 |
| EMPLOYER POC CITY | Sugar Land |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77479 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17139802500 |
| EMPLOYER POC EMAIL | amondragon@interstaffinc.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6644 E Baywood Ave |
| LCA CASE WORKLOC1 CITY | Mesa |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85206 |
| LCA CASE WAGE RATE FROM | 37.88 |
| LCA CASE WAGE RATE TO | 38 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.88 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |