| LCA CASE NUMBER | I-200-16363-644430 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 12/30/2016 |
| DECISION DATE | 1/6/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/28/2017 |
| EMPLOYMENT END DATE | 6/27/2020 |
| LCA CASE EMPLOYER NAME | MIDSTATE MEDICAL CENTER |
| EMPLOYER ADDRESS | 435 LEWIS AVENUE |
| EMPLOYER CITY | MERIDEN |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06451 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2036948288 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | WIZNER, ANDREW |
| AGENT ATTORNEY CITY | HARTFORD |
| AGENT ATTORNEY STATE | CT |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 105,227.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 135,012.80 |
| LCA CASE WAGE RATE TO | 230,880.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | MERIDEN |
| WORKSITE COUNTY | NEW HAVEN |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06451 |
