| CASE NUMBER | I-200-25065-752432 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/6/2025 |
| DECISION DATE | 3/13/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Lab Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2025 |
| END DATE | 8/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Hospital District No. 6 of Harper County, Kansas |
| TRADE NAME DBA | Patterson Health Center |
| EMPLOYER ADDRESS1 | 485 N KS HWY 2 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Anthony |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16209141200 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Barwick |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 485 N KS HWY 2 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Anthony |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16209141200 |
| EMPLOYER POC PHONE EXT | 2163 |
| EMPLOYER POC EMAIL | kbarwick@pattersonhc.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Curley |
| AGENT ATTORNEY FIRST NAME | MARK |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 11128 JOHN GALT BLVD |
| AGENT ATTORNEY ADDRESS2 | SUITE 104 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68137 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14027338989 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | MJCURLEY@CURLEYLAWOFFICE.COM |
| LAWFIRM NAME BUSINESS NAME | Curley Immigration Law PC LLO |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 485 N KS HWY 2 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Anthony |
| WORKSITE COUNTY | HARPER |
| WORKSITE STATE | KS |
| WORKSITE POSTAL CODE | 67003 |
| WAGE RATE OF PAY FROM | $27.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $19.80 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-09-01 |
