| LCA CASE NUMBER | I-200-19052-644419 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-03-18 |
| DECISION DATE | 2019-03-22 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-07-31 |
| EMPLOYMENT END DATE | 2022-07-30 |
| LCA CASE EMPLOYER NAME | LIFESPAN PHYSICIAN GROUP INC. |
| EMPLOYER ADDRESS | 167 POINT STREET |
| EMPLOYER CITY | PROVIDENCE |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 02903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4016062211 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | The Miriam Hospital |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | THOMASBROWN |
| AGENT ATTORNEY CITY | CRANSTON |
| AGENT ATTORNEY STATE | RI |
| LCA CASE JOB TITLE | PHYSICIAN (HOSPITALIST) |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| 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 | True |
| PREVAILING WAGE | 171330 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 2 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Providence |
| WORKSITE COUNTY | Providence |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 02906 |
| WILLFUL VIOLATOR | False |
