| LCA CASE NUMBER | I-200-21147-350031 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-27 |
| DECISION DATE | 2021-06-04 |
| 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 | 2021-10-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hartford HealthCare Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 1290 Silas Deane Highway |
| EMPLOYER ADDRESS2 | Floor 2 |
| EMPLOYER CITY | Wethersfield |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18603068009 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Lasser |
| EMPLOYER POC FIRST NAME | Pam |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS 1 | 1290 Silas Deane Highway |
| EMPLOYER POC CITY | Wethersfield |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06109 |
| 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 | Kim |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Lee |
| AGENT ATTORNEY ADDRESS1 | 500 North Meridian Street |
| AGENT ATTORNEY ADDRESS2 | 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 | 13179771418 |
| AGENT ATTORNEY EMAIL ADDRESS | gshelton@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 | 80 Seymour Street |
| LCA CASE WORKLOC1 CITY | Hartford |
| WORKSITE COUNTY | HARTFORD CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6102 |
| LCA CASE WAGE RATE FROM | 257500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 132766 |
| 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 |