\ H1B CASE NUMBER I-200-24012-639094



CASE NUNBER: I-200-24012-639094

LCA CASE NUMBERI-200-24012-639094
STATUSCertified
LCA CASE SUBMIT2024-01-12
DECISION DATE2024-01-22
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 DATE2024-03-01
END DATE2027-02-28
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMECheyenne County Hospital Association, Inc.
TRADE NAME DBASidney Regional Medical Center
EMPLOYER ADDRESS11000 Pole Creek Crossing
EMPLOYER CITYSidney
EMPLOYER STATENE
EMPLOYER POSTAL CODE69162
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE13082545825
NAICS CODE622110
EMPLOYER POC LAST NAMENelsen
EMPLOYER POC FIRST NAMEJulie
EMPLOYER POC JOB TITLEExecutive Director - Human Resources
EMPLOYER POC ADDRESS11000 Pole Creek Crossing
EMPLOYER POC CITYSidney
EMPLOYER POC STATENE
EMPLOYER POC POSTAL CODE69162
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE13082543021
EMPLOYER POC EMAILjnelsen@sidneyrmc.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKessler
AGENT ATTORNEY FIRST NAMEDustin
AGENT ATTORNEY MIDDLE NAMEJoseph
AGENT ATTORNEY ADDRESS11700 Farnam Street
AGENT ATTORNEY ADDRESS2Suite 1500
AGENT ATTORNEY CITYOmaha
AGENT ATTORNEY STATENE
AGENT ATTORNEY POSTAL CODE68102
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14023440500
AGENT ATTORNEY EMAIL ADDRESSdkessler@bairdholm.com
LAWFIRM NAME BUSINESS NAMEBaird Holm LLP
STATE OF HIGHEST COURTNE
NAME OF HIGHEST STATE COURTNebraska Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11000 Pole Creek Crossing
LCA CASE WORKLOC1 CITYSidney
WORKSITE COUNTYCHEYENNE
LCA CASE WORKLOC1 STATENE
WORKSITE POSTAL CODE69162
LCA CASE WAGE RATE FROM29.61
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE20.13
PW UNIT OF PAYHour
PW WAGE LEVELI
PW OES YEAR7/1/2023 - 6/30/2024
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEKessler
PREPARER FIRST NAMEDustin
PREPARER MIDDLE INITIALJ
PREPARER BUSINESS NAMEBaird Holm LLP
PREPARER EMAILdkessler@bairdholm.com