| CASE NUMBER | I-200-24306-447918 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/1/2024 |
| DECISION DATE | 11/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/7/2025 |
| END DATE | 1/6/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Comanche County Hospital Authority |
| TRADE NAME DBA | Comanche County Memorial Hospital |
| EMPLOYER ADDRESS1 | 3401 W. Gore Blvd. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Lawton |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73505 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15805855511 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Farmer, SPHR, SHRM-SCP |
| EMPLOYER POC FIRST NAME | Taylor |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Administrative Director, HR Compliance & HIPAA |
| EMPLOYER POC ADDRESS1 | 3401 W. Gore Blvd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Lawton |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73505 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15805855505 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | taylor.farmer@ccmhhealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Stump |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 301 NW 63rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 250 |
| AGENT ATTORNEY CITY | Oklahoma City |
| AGENT ATTORNEY STATE | OK |
| AGENT ATTORNEY POSTAL CODE | 73116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14058790800 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mstump@usvisagroup.com |
| LAWFIRM NAME BUSINESS NAME | Matthew D. Stump, P.C. |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | Oklahoma Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3401 W. Gore Blvd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Lawton |
| WORKSITE COUNTY | COMANCHE |
| WORKSITE STATE | OK |
| WORKSITE POSTAL CODE | 73505 |
| WAGE RATE OF PAY FROM | $41,538.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $70,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $41,538.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | Stump |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Matthew D. Stump, P.C. |
| PREPARER EMAIL | mstump@usvisagroup.com |
| BEGIN DATE CONVERTED | 2025-01-07 |
