| CASE NUMBER | I-200-24262-347937 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/18/2024 |
| DECISION DATE | 9/25/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Laboratory Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 10/1/2027 |
| TOTAL WORKER POSITIONS | 4 |
| NEW EMPLOYMENT | 4 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Yuma Regional Medical Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2400 South Avenue A |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Yuma |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85364 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19283367775 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kreutzian |
| EMPLOYER POC FIRST NAME | Sandra |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 2400 South Avenue A |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Yuma |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85364 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19283367775 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | skreutzian@yumaregional.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Johnson-Lewis |
| AGENT ATTORNEY FIRST NAME | Ann-Rose |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 9101 Kings Parade Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Charlotte |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 28273 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17044969398 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | legal@healthstaff.org |
| LAWFIRM NAME BUSINESS NAME | Worldwide HealthStaff Solutions, LTD. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | North Carolina Supreme Court |
| WORKSITE WORKERS | 4 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2400 South Avenue A |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Yuma |
| WORKSITE COUNTY | YUMA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85364 |
| WAGE RATE OF PAY FROM | 34.50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $25.43 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 |
| PREPARER LAST NAME | Bunch |
| PREPARER FIRST NAME | Nathan |
| PREPARER MIDDLE INITIAL | R. |
| PREPARER BUSINESS NAME | Worldwide HealthStaff Solutions, LTD. |
| PREPARER EMAIL | nbunch@healthstaff.org |
| BEGIN DATE CONVERTED | 2024-01-10 |
