| LCA CASE NUMBER | I-200-21120-274346 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-30 |
| DECISION DATE | 2021-05-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nocturnist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-12 |
| END DATE | 2024-06-11 |
| 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 | Prospect CT Medical Foundation, Inc. |
| TRADE NAME DBA | Alliance Medical Group |
| EMPLOYER ADDRESS1 | 1625 Straits Turnpike |
| EMPLOYER CITY | Middlebury |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6762 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12035739512 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Charles |
| EMPLOYER POC JOB TITLE | Hospital Operations |
| EMPLOYER POC ADDRESS 1 | 1625 Straits Turnpike |
| EMPLOYER POC CITY | Middlebury |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06762 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12035739512 |
| EMPLOYER POC EMAIL | charles.smith@prospectmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street, 18th Floor |
| AGENT ATTORNEY CITY | New Haven |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12037843104 |
| AGENT ATTORNEY EMAIL ADDRESS | lhopwood@carmodylaw.com |
| LAWFIRM NAME BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| STATE OF HIGHEST COURT | CT |
|
| NAME OF HIGHEST STATE COURT | Connecticut Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Prospect Waterbury Hospital |
| WORKSITE ADDRESS1 | 64 Robbins Street |
| LCA CASE WORKLOC1 CITY | Waterbury |
| WORKSITE COUNTY | WATERBURY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6708 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 157955 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Buydos |
| PREPARER FIRST NAME | Jill |
| PREPARER MIDDLE INITIAL | G. |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| PREPARER EMAIL | jbuydos@carmodylaw.com |
