| CASE NUMBER | I-200-24183-165058 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/1/2024 |
| DECISION DATE | 7/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Lakeland Regional Health dba Lakeland Regional Health Medical Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1324 Lakeland Hills Boulevard |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Lakeland |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33805 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18636871100 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Vile |
| EMPLOYER POC FIRST NAME | Sheree |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Talent Acquisition Director |
| EMPLOYER POC ADDRESS1 | 1324 Lakeland Hills Boulevard |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Lakeland |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33805 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18636871100 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | sheree.veliz@mylrh.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Neal |
| AGENT ATTORNEY FIRST NAME | Sherry |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 600 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1800 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15133812011 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | kelsey.hammond@immigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Corporate Immigration Partners, P.C. |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1324 Lakeland Hills Boulevard |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Lakeland |
| WORKSITE COUNTY | POLK |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33805 |
| WAGE RATE OF PAY FROM | 38.11 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $20.65 |
| 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 | Neal |
| PREPARER FIRST NAME | Sherry |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Corporate Immigration Partners, P.C. |
| PREPARER EMAIL | kelsey.hammond@immigrationlaw.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
