| CASE NUMBER | I-200-24276-380286 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/2/2024 |
| DECISION DATE | 10/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Laboratory Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/1/2025 |
| END DATE | 3/31/2028 |
| 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 | Northern Cochise Community Hospital, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 901 W. Rex Allen Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Willcox |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85643 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15207666494 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Fulton |
| EMPLOYER POC FIRST NAME | Kerri-Lee |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 901 W. Rex Allen Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Willcox |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85643 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15207666494 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kfulton@ncch.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Leung |
| AGENT ATTORNEY FIRST NAME | Jared |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 3200 N. Hayden Road |
| AGENT ATTORNEY ADDRESS2 | Ste. 320 |
| AGENT ATTORNEY CITY | Scottsdale |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85251 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16026759486 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jleung@jclimmigration.com |
| LAWFIRM NAME BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 901 W. Rex Allen Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Willcox |
| WORKSITE COUNTY | COCHISE |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85643 |
| WAGE RATE OF PAY FROM | $29.95 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $35.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $29.95 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Denler |
| PREPARER FIRST NAME | Cameron |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| PREPARER EMAIL | cdenler@jclimmigration.com |
| BEGIN DATE CONVERTED | 2025-04-01 |
