| LCA CASE NUMBER | I-200-20094-457338 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-02 |
| DECISION DATE | 2020-04-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-22 |
| END DATE | 2023-05-21 |
| 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 | Thundermist Health Center |
| TRADE NAME DBA | Thundermist Health Center |
| EMPLOYER ADDRESS1 | 171 Service Avenue |
| EMPLOYER ADDRESS2 | Building 2 |
| EMPLOYER CITY | Warwick |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2886 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14017674100 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | LaChance |
| EMPLOYER POC FIRST NAME | Jeanne |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS1 | 171 Service Avenue |
| EMPLOYER POC ADDRESS2 | Building 2 |
| EMPLOYER POC CITY | Warwick |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 2886 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14017674100 |
| EMPLOYER POC EMAIL | jeannel@thundermisthealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Arevalo |
| AGENT ATTORNEY FIRST NAME | Clarissa |
| AGENT ATTORNEY MIDDLE NAME | Kathleen |
| AGENT ATTORNEY ADDRESS1 | 1666 Connecticut Ave NW |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20009 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029861666.0 |
| AGENT ATTORNEY EMAIL ADDRESS | carevalo@LRimmlaw.com |
| LAWFIRM NAME BUSINESS NAME | Lichtman & Rosenblum, PLLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | DC Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 186 Providence Street |
| LCA CASE WORKLOC1 CITY | West Warwick |
| WORKSITE COUNTY | WEST WARWICK |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2893 |
| LCA CASE WAGE RATE FROM | 53830.0 |
| LCA CASE WAGE RATE TO | 175000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 53830.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
