\ H1B CASE NUMBER I-200-24248-313865



CASE NUNBER: I-200-24248-313865

LCA CASE NUMBERI-200-24248-313865
STATUSCertified
LCA CASE SUBMIT2024-09-04
DECISION DATE2024-09-11
VISA CLASSH-1B
LCA CASE JOB TITLEMedical Technologist
SOC CODE29-2011.00
SOC TITLEMedical and Clinical Laboratory Technologists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2024-12-20
END DATE2027-12-19
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEPella Regional Health Center
TRADE NAME DBANot Applicable
EMPLOYER ADDRESS1404 Jefferson Street
EMPLOYER CITYPella
EMPLOYER STATEIA
EMPLOYER POSTAL CODE50219
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE16416283150
EMPLOYER FEIN42-0842204
NAICS CODE622110
EMPLOYER POC LAST NAMEDunham
EMPLOYER POC FIRST NAMEAnna
EMPLOYER POC JOB TITLEHuman Resources Generalist
EMPLOYER POC ADDRESS1404 Jefferson Street
EMPLOYER POC CITYPella
EMPLOYER POC STATEIA
EMPLOYER POC POSTAL CODE50219
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE16416266645
EMPLOYER POC EMAILadunham@pellahealth.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMECook
AGENT ATTORNEY FIRST NAMEKevin
AGENT ATTORNEY MIDDLE NAMEL.
AGENT ATTORNEY ADDRESS1P.O. Box 755
AGENT ATTORNEY CITYSummerville
AGENT ATTORNEY STATESC
AGENT ATTORNEY POSTAL CODE29484
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE18439008726
AGENT ATTORNEY EMAIL ADDRESSklcook7849@verizon.net
LAWFIRM NAME BUSINESS NAMEKevin L. Cook, Esq.
STATE OF HIGHEST COURTNY
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1404 Jefferson Street
LCA CASE WORKLOC1 CITYPella
WORKSITE COUNTYMARION
LCA CASE WORKLOC1 STATEIA
WORKSITE POSTAL CODE50219
LCA CASE WAGE RATE FROM62878
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE46613
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER BUSINESS NAMENot Applicable