| LCA CASE NUMBER | I-200-20160-633760 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-08 |
| DECISION DATE | 2020-06-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Hospitalist) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LIFESPAN PHYSICIAN GROUP INC. |
| EMPLOYER ADDRESS1 | 167 POINT STREET |
| EMPLOYER CITY | Providence |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14016062211 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | RICHARDS |
| EMPLOYER POC FIRST NAME | PATRICIA |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, OPERATIONS |
| EMPLOYER POC ADDRESS1 | 593 EDDY STREET |
| EMPLOYER POC ADDRESS2 | DAVOL 101 |
| EMPLOYER POC CITY | PROVIDENCE |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 2903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14016062211 |
| EMPLOYER POC EMAIL | PRICHARDS@LIFESPAN.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | Thomas |
| AGENT ATTORNEY MIDDLE NAME | STEPHEN |
| AGENT ATTORNEY ADDRESS1 | 2139 BROAD STREET |
| AGENT ATTORNEY CITY | CRANSTON |
| AGENT ATTORNEY STATE | RI |
| AGENT ATTORNEY POSTAL CODE | 2905 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14012744040.0 |
| AGENT ATTORNEY EMAIL ADDRESS | TBROWN@RODIOBROWN.COM |
| LAWFIRM NAME BUSINESS NAME | Rodio & Brown, Ltd. |
| STATE OF HIGHEST COURT | RI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Rhode Island Hospital |
| WORKSITE ADDRESS1 | 593 Eddy Street |
| LCA CASE WORKLOC1 CITY | Providence |
| WORKSITE COUNTY | PROVIDENCE CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2903 |
| LCA CASE WAGE RATE FROM | 230000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160784.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
