| CASE NUMBER | I-200-24296-424369 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/22/2024 |
| DECISION DATE | 10/29/2024 |
| 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 | 1/1/2025 |
| END DATE | 12/31/2027 |
| 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 | O'Grady Peyton International |
| TRADE NAME DBA | O'Grady Peyton International |
| EMPLOYER ADDRESS1 | 100 Bull St |
| EMPLOYER ADDRESS2 | Suite 207 |
| EMPLOYER CITY | Savannah |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18885700022 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 5613 |
| EMPLOYER POC LAST NAME | Kilkenny |
| EMPLOYER POC FIRST NAME | Michele |
| EMPLOYER POC MIDDLE NAME | C |
| EMPLOYER POC JOB TITLE | Senior Director Immigration, Licensure & Credentialing |
| EMPLOYER POC ADDRESS1 | 100 Bull St |
| EMPLOYER POC ADDRESS2 | Suite 207 |
| EMPLOYER POC CITY | Savannah |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18885700022 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | michele.kilkenny@amnhealthcare.com |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | UVA Health Warrenton Professional Center |
| WORKSITE ADDRESS1 | 493 Blackwell Rd #202 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Warrenton |
| WORKSITE COUNTY | FAUQUIER |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 20186 |
| WAGE RATE OF PAY FROM | $76,960.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $44,470.00 |
| PW UNIT OF PAY | Year |
| 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 | 2 |
| 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 | Velez |
| PREPARER FIRST NAME | Anja |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | O'Grady Peyton International |
| PREPARER EMAIL | anja.velez@amnhealthcare.com |
| BEGIN DATE CONVERTED | 2025-01-01 |
