| LCA CASE NUMBER | I-200-21256-580393 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-13 |
| DECISION DATE | 2021-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-10-24 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Northeast Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 99 Hawley Lane |
| EMPLOYER ADDRESS2 | 1st Floor |
| EMPLOYER CITY | Stratford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6614 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18556364637 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Geanuracos |
| EMPLOYER POC FIRST NAME | Elena |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS1 | 99 Hawley Lane |
| EMPLOYER POC ADDRESS2 | 1st Floor |
| EMPLOYER POC CITY | Stratford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12036415484 |
| EMPLOYER POC EMAIL | elena.geanuracos@ynhh.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | Meris |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street |
| AGENT ATTORNEY ADDRESS2 | Floor 18 |
| 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 | False |
| WORKSITE ADDRESS1 | Bridgeport Hospital |
| WORKSITE ADDRESS2 | 267 Grant Street |
| LCA CASE WORKLOC1 CITY | Bridgeport |
| WORKSITE COUNTY | FAIRFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6610 |
| LCA CASE WAGE RATE FROM | 150 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.59 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | El-Hashem |
| PREPARER FIRST NAME | Anthony |
| PREPARER MIDDLE INITIAL | F. |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey |
| PREPARER EMAIL | ael-hashem@carmodylaw.com |
