| CASE NUMBER | I-200-24311-456549 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/6/2024 |
| DECISION DATE | 11/14/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Technologist II |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/2/2025 |
| END DATE | 1/1/2028 |
| 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 | Mount Sinai Medical Center of Florida |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4300 Alton Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Miami Beach |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33140 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13056742121 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Duris |
| EMPLOYER POC FIRST NAME | Nick |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 4300 Alton Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Miami Beach |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33140 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | FL |
| EMPLOYER POC PHONE | 13056742121 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Nick.Duris@msmc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fu |
| AGENT ATTORNEY FIRST NAME | Minnie |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17034838300 |
| AGENT ATTORNEY PHONE EXT | 8311 |
| AGENT ATTORNEY EMAIL ADDRESS | Minnie.Fu@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4300 Alton Rd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Miami Beach |
| WORKSITE COUNTY | MIAMI-DADE |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33140 |
| WAGE RATE OF PAY FROM | $38.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $23.90 |
| 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 | Hsiung |
| PREPARER FIRST NAME | Fay |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | Fay.Hsiung@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2025-01-02 |
