| LCA CASE NUMBER | I-200-25100-853305 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-04-10 |
| DECISION DATE | 2025-04-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-09-30 |
| END DATE | 2028-09-29 |
| 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 | Irwin County Hospital Authority |
| TRADE NAME DBA | Irwin County Hospital |
| EMPLOYER ADDRESS1 | 701 N Irwin Ave. |
| EMPLOYER CITY | Ocilla |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31774 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12294683800 |
| EMPLOYER FEIN | 58-6003765 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Vining |
| EMPLOYER POC FIRST NAME | Madaline |
| EMPLOYER POC JOB TITLE | Human Resources/Compliance |
| EMPLOYER POC ADDRESS1 | 710 N. Irwin Ave. |
| EMPLOYER POC CITY | Ocilla |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31774 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12294683830 |
| EMPLOYER POC EMAIL | mvining@irwincntyhospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tungol Cabagnot |
| AGENT ATTORNEY FIRST NAME | Kristine |
| AGENT ATTORNEY ADDRESS1 | 460 Harbor Side Street |
| AGENT ATTORNEY CITY | Woodbridge |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15713986183 |
| AGENT ATTORNEY EMAIL ADDRESS | kristine@tungollaw.com |
| LAWFIRM NAME BUSINESS NAME | Tungol Law Office |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 710 N. Irwin Ave. |
| LCA CASE WORKLOC1 CITY | Ocilla |
| WORKSITE COUNTY | IRWIN |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31774 |
| LCA CASE WAGE RATE FROM | 25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.33 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |