| CASE NUMBER | I-200-25042-684318 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/11/2025 |
| DECISION DATE | 2/19/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | LABORATORY TECHNOLOGIST |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/8/2025 |
| END DATE | 8/7/2028 |
| 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 | SAINT FRANCIS HEALTH SYSTEM |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6600 SOUTH YALE AVENUE |
| EMPLOYER ADDRESS2 | SUITE 1100 |
| EMPLOYER CITY | TULSA |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74136 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19185028308 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | PAYNE |
| EMPLOYER POC FIRST NAME | JAMIE |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP CHIEF HR OFFICER |
| EMPLOYER POC ADDRESS1 | 6600 SOUTH YALE AVENUE |
| EMPLOYER POC ADDRESS2 | SUITE 1100 |
| EMPLOYER POC CITY | TULSA |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 74136 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19185028308 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | japayne@saintfrancis.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | HERNANDEZ |
| AGENT ATTORNEY FIRST NAME | DIANE |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1600 Stout Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13036075448 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dhernandez@hallestill.com |
| LAWFIRM NAME BUSINESS NAME | HALL ESTILL |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF OKLAHOMA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 300 EDNA ROCKEFELLER DRIVE |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | MUSKOGEE |
| WORKSITE COUNTY | MUSKOGEE |
| WORKSITE STATE | OK |
| WORKSITE POSTAL CODE | 74401 |
| WAGE RATE OF PAY FROM | $50,585.60 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $42,931.00 |
| PW UNIT OF PAY | Year |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-08-08 |
