| LCA CASE NUMBER | I-200-21126-291196 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-12 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-04 |
| END DATE | 2024-08-03 |
| 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 | Charlotte Hungerford Hospital |
| EMPLOYER ADDRESS1 | 540 Litchfield Street |
| EMPLOYER CITY | Torrington |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6790 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18603068009 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lasser |
| EMPLOYER POC FIRST NAME | Pamela |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS 1 | 389 JOHN DOWNEY DR |
| EMPLOYER POC CITY | New Britain |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06051 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18603068009 |
| EMPLOYER POC EMAIL | Pamela.Lasser@hhchealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ramsey |
| AGENT ATTORNEY FIRST NAME | Lindsay |
| AGENT ATTORNEY MIDDLE NAME | Carlberg |
| AGENT ATTORNEY ADDRESS1 | 500 N. Meridian Street, Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13174293637 |
| AGENT ATTORNEY EMAIL ADDRESS | lramsey@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | Hall Render Killian Heath & Lyman P.C. |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 540 Litchfield Street |
| LCA CASE WORKLOC1 CITY | Torrington |
| WORKSITE COUNTY | TORRINGTON |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6790 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE TO | 346000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104208 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
