| LCA CASE NUMBER | I-200-20052-342197 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-21 |
| DECISION DATE | 2020-02-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-03-02 |
| END DATE | 2023-03-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Coastal Medical Inc. |
| EMPLOYER ADDRESS1 | 10 Davol Square |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Providence |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2093 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14014214000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rossi |
| EMPLOYER POC FIRST NAME | Paula |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Vice Pres of Organizational Support & Compliance Officer |
| EMPLOYER POC ADDRESS1 | 10 Davol Square |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Providence |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 2903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14014214000 |
| EMPLOYER POC EMAIL | prossi@coastalmedical.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jeffries |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ehause.jc@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Jeffries & Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 900 Warren Avenue |
| LCA CASE WORKLOC1 CITY | East Providence |
| WORKSITE COUNTY | PROVIDENCE CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2914 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 143.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 77.3 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Jeffries & Corigliano LLP |
| PREPARER EMAIL | Ehause@jeffries-law.com |
