| CASE NUMBER | I-200-23355-584934 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/21/2023 |
| DECISION DATE | 12/29/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2012.00 |
| SOC TITLE | Medical and Clinical Laboratory Technicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2024 |
| END DATE | 12/31/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | JEFFERSON REGIONAL MEDICAL CENTER |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 565 COAL VALLEY ROAD |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | JEFFERSON HILLS |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14124635000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | ZABLONSKI |
| EMPLOYER POC FIRST NAME | PAMELA |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | TS PROGRAM MANAGER - IMMIGRATION |
| EMPLOYER POC ADDRESS1 | 120 FIFTH AVENUE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | PITTSBURGH |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15222 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17166588174 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | PAMELA.ZABLONSKI@HIGHMARKHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | CASTRODALE |
| AGENT ATTORNEY FIRST NAME | ALEXANDER |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 625 LIBERTY AVENUE |
| AGENT ATTORNEY ADDRESS2 | 5TH FLOOR |
| AGENT ATTORNEY CITY | PITTSBURGH |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +14122974712 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ALEX.CASTRODALE@DENTONS.COM |
| LAWFIRM NAME BUSINESS NAME | DENTONS COHEN & GRIGSBY P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | PENNSYLVANIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 565 COAL VALLEY ROAD |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | JEFFERSON HILLS |
| WORKSITE COUNTY | ALLEGHENY |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 15025 |
| WAGE RATE OF PAY FROM | 28.82 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $26.33 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | PILLION-GARDNER |
| PREPARER FIRST NAME | NOAH |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | DENTONS COHEN & GRIGSBY P.C. |
| PREPARER EMAIL | NOAH.PILLIONGARDNER@GMAIL.COM |
| BEGIN DATE CONVERTED | 2024-01-01 |
