| LCA CASE NUMBER | I-200-20135-572959 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-14 |
| DECISION DATE | 2020-05-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-20 |
| END DATE | 2023-06-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Western Connecticut Medical Group, P.C. |
| EMPLOYER ADDRESS1 | 14 Research Drive |
| EMPLOYER ADDRESS2 | Suite 201A |
| EMPLOYER CITY | Bethel |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037396868 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Voltz |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Immigration Specialist & Employment Law Paralegal |
| EMPLOYER POC ADDRESS1 | 24 Hospital Avenue |
| EMPLOYER POC CITY | Danbury |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6810 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037394748 |
| EMPLOYER POC EMAIL | immigration@wchn.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mirer |
| AGENT ATTORNEY FIRST NAME | Joshua |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | Robinson & Cole LLP |
| AGENT ATTORNEY ADDRESS2 | 280 Trumbull Street, 28th Floor |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602758344.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jmirer@rc.com |
| LAWFIRM NAME BUSINESS NAME | Robinson & Cole LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Superior Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 24 Hospital Avenue |
| LCA CASE WORKLOC1 CITY | Danbury |
| WORKSITE COUNTY | DANBURY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6810 |
| LCA CASE WAGE RATE FROM | 207272.0 |
| LCA CASE WAGE RATE TO | 227500.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 207272.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
