| LCA CASE NUMBER | I-200-21307-685221 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-03 |
| DECISION DATE | 2021-11-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-15 |
| END DATE | 2024-12-14 |
| 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 | Nuvance Health Medical Practices CT, Inc. f/k/a Western Connecticut Medical Group, PC |
| EMPLOYER ADDRESS1 | 14 Research Drive |
| EMPLOYER ADDRESS2 | Suite 201A |
| EMPLOYER CITY | Bethel |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037394748 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Voltz |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Immigration Specialist & Employment Law Paralegal |
| EMPLOYER POC ADDRESS1 | 24 Hospital Avenue |
| EMPLOYER POC CITY | Danbury |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06810 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037394748 |
| EMPLOYER POC EMAIL | Immigration@nuvancehealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mirer |
| AGENT ATTORNEY FIRST NAME | Joshua |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | Robinson & Cole LLP |
| AGENT ATTORNEY ADDRESS2 | 280 Trumbull Street, 28th Floor |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602758344 |
| AGENT ATTORNEY EMAIL ADDRESS | jmirer@rc.com |
| LAWFIRM NAME BUSINESS NAME | Robinson & Cole LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Superior Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 24 Hospital Avenue |
| LCA CASE WORKLOC1 CITY | Danbury |
| WORKSITE COUNTY | DANBURY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06810 |
| LCA CASE WAGE RATE FROM | 240625 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 227594 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
