| LCA CASE NUMBER | I-200-24281-390900 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-10-07 |
| DECISION DATE | 2024-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Scientist |
| SOC CODE | 29-2011 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-21 |
| END DATE | 2027-10-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Tahlequah Hospital Authority |
| TRADE NAME DBA | Northeastern Health System |
| EMPLOYER ADDRESS1 | 1400 East Downing Street |
| EMPLOYER CITY | Tahlequah |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74464 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19184532145 |
| EMPLOYER FEIN | 73-6045246 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Shafer |
| EMPLOYER POC FIRST NAME | Todd |
| EMPLOYER POC MIDDLE NAME | Ray |
| EMPLOYER POC JOB TITLE | Vice President of Ancillary and Plant Operations |
| EMPLOYER POC ADDRESS1 | 1400 East Downing Street |
| EMPLOYER POC CITY | Tahlequah |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 74464 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19184532145 |
| EMPLOYER POC EMAIL | tshafer@nhs-ok.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GRODE |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY MIDDLE NAME | Agins |
| AGENT ATTORNEY ADDRESS1 | 1524 Delancey Street |
| AGENT ATTORNEY ADDRESS2 | 4th Floor |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12153958959 |
| AGENT ATTORNEY EMAIL ADDRESS | jgrode@gands-us.com |
| LAWFIRM NAME BUSINESS NAME | Green and Spiegel, LLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1400 E Downing Street |
| LCA CASE WORKLOC1 CITY | Tahlequah |
| WORKSITE COUNTY | CHEROKEE |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74464 |
| LCA CASE WAGE RATE FROM | 36.71 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 16.88 |
| 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 |
| PREPARER LAST NAME | Grode |
| PREPARER FIRST NAME | Jonathan |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Green and Spiegel LLC |
| PREPARER EMAIL | healthcare@gands-us.com |