| LCA CASE NUMBER | I-200-24247-310132 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-09-03 |
| DECISION DATE | 2024-09-10 |
| 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 | 2024-10-07 |
| END DATE | 2027-10-06 |
| 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 | Community Hospital Association |
| TRADE NAME DBA | Community Hospital-Fairfax |
| EMPLOYER ADDRESS1 | 26136 Hwy 59 |
| EMPLOYER CITY | Fairfax |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64491 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16606862211 |
| EMPLOYER FEIN | 44-0537826 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Jones |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 26136 Hwy 59 |
| EMPLOYER POC CITY | Fairfax |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64491 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16606862321 |
| EMPLOYER POC EMAIL | juliej@fairfaxmed.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bell |
| AGENT ATTORNEY FIRST NAME | Jeffrey |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 900 West 48th Place |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MO |
| AGENT ATTORNEY PHONE | 18163604264 |
| AGENT ATTORNEY EMAIL ADDRESS | jbell@polsinelli.com |
| LAWFIRM NAME BUSINESS NAME | Polsinelli |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 23136 Hwy 59 |
| LCA CASE WORKLOC1 CITY | Fairfax |
| WORKSITE COUNTY | ATCHISON |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64491 |
| LCA CASE WAGE RATE FROM | 31.82 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 25.96 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |