\ H1B CASE NUMBER I-200-21025-031507



CASE NUNBER: I-200-21025-031507

LCA CASE NUMBERI-200-21025-031507
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-01-25
DECISION DATE2022-06-09
ORIGINAL CERT DATE2021-02-01
VISA CLASSH-1B
LCA CASE JOB TITLEAssistant Professor Clinical
SOC CODE29-1069.00
SOC TITLEPhysicians and Surgeons, All Other
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-07-22
END DATE2024-07-21
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEUniversity of Connecticut Health Center
EMPLOYER ADDRESS1263 Farmington Avenue
EMPLOYER ADDRESS2Department of Human Resources
EMPLOYER CITYFarmington
EMPLOYER STATECT
EMPLOYER POSTAL CODE06030
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18606794430
NAICS CODE611310
EMPLOYER POC LAST NAMEDuggal
EMPLOYER POC FIRST NAMEJaishree
EMPLOYER POC MIDDLE NAMEG
EMPLOYER POC JOB TITLEHuman Resources Officer
EMPLOYER POC ADDRESS1263 Farmington Avenue
EMPLOYER POC ADDRESS2Department of Human Resources
EMPLOYER POC CITYFarmington
EMPLOYER POC STATECT
EMPLOYER POC POSTAL CODE06030
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18606794430
EMPLOYER POC EMAILduggal@adp.uchc.edu
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1263 Farmington Avenue
LCA CASE WORKLOC1 CITYFarmington
WORKSITE COUNTYFARMINGTON
LCA CASE WORKLOC1 STATECT
WORKSITE POSTAL CODE06030
LCA CASE WAGE RATE FROM250000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE132766
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEDornenburg
PREPARER FIRST NAMEKaitlin
PREPARER BUSINESS NAMEUniversity of Connecticut Health Center
PREPARER EMAILdornenburg@uchc.edu