| LCA CASE NUMBER | I-200-20279-858770 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-05 |
| DECISION DATE | 2020-10-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-06 |
| END DATE | 2023-11-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lifespan Physician Group |
| EMPLOYER ADDRESS1 | 167 Point Street |
| EMPLOYER ADDRESS2 | Suite 2B |
| EMPLOYER CITY | Providence |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14016062211 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Richards |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | VP of Operations |
| EMPLOYER POC ADDRESS 1 | 167 Point Street |
| EMPLOYER POC ADDRESS 2 | Suite 2B |
| EMPLOYER POC CITY | Providence |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14016062211 |
| EMPLOYER POC EMAIL | prichards@lifespan.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khanbabai |
| AGENT ATTORNEY FIRST NAME | Mahsa |
| AGENT ATTORNEY ADDRESS1 | 115 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1B |
| AGENT ATTORNEY CITY | North Easton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2356 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15082972065 |
| AGENT ATTORNEY EMAIL ADDRESS | mahsa@mk-immigration.com |
| LAWFIRM NAME BUSINESS NAME | Khanbabai Immigration Law |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Superior |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 164 Summit Ave |
| LCA CASE WORKLOC1 CITY | Providence |
| WORKSITE COUNTY | PROVIDENCE CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2096 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159016 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
