| LCA CASE NUMBER | I-200-23285-427643 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-10-12 |
| DECISION DATE | 2023-10-19 |
| 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 | 2023-12-04 |
| END DATE | 2026-12-03 |
| 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 | Sumner County Hospital District No 1 |
| TRADE NAME DBA | Caldwell Regional Medical Center |
| EMPLOYER ADDRESS1 | 761 W 175th St S |
| EMPLOYER CITY | Caldwell |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67022 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16208456492 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Bollman |
| EMPLOYER POC FIRST NAME | Brooke |
| EMPLOYER POC JOB TITLE | CEO/Administrator |
| EMPLOYER POC ADDRESS1 | 761 W. 175th St. S |
| EMPLOYER POC CITY | Caldwell |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67022 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16208456492 |
| EMPLOYER POC EMAIL | bbollman@crmcks.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Berner |
| AGENT ATTORNEY FIRST NAME | Donald |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1551 N Waterfront Pkwy, Ste 100 |
| AGENT ATTORNEY CITY | Wichita |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 67206 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13162919738 |
| AGENT ATTORNEY EMAIL ADDRESS | dberner@foulston.com |
| LAWFIRM NAME BUSINESS NAME | Foulston Siefkin LLP |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | KANSAS SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 761 W. 175th St. S |
| LCA CASE WORKLOC1 CITY | Caldwell |
| WORKSITE COUNTY | SUMNER |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67022 |
| LCA CASE WAGE RATE FROM | 25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.18 |
| 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 |
| PREPARER LAST NAME | Berner |
| PREPARER FIRST NAME | Donald |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Foulston Siefkin LLP |
| PREPARER EMAIL | dberner@foulston.com |