| LCA CASE NUMBER | I-200-22131-159780 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-11 |
| DECISION DATE | 2022-05-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 2 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| 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 | 06109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18605470616 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Dilly |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC JOB TITLE | Human Resources Representative |
| EMPLOYER POC ADDRESS1 | 1290 Silas Deane Highway |
| EMPLOYER POC ADDRESS2 | Floor 2 |
| EMPLOYER POC CITY | Wethersfield |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06109 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18609727922 |
| EMPLOYER POC EMAIL | christine.dilly@hhchealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Eckert |
| AGENT ATTORNEY FIRST NAME | Brenda |
| AGENT ATTORNEY MIDDLE NAME | Alma |
| AGENT ATTORNEY ADDRESS1 | One Constitution Plaza |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602515712 |
| AGENT ATTORNEY EMAIL ADDRESS | BEckert@goodwin.com |
| LAWFIRM NAME BUSINESS NAME | Shipman & Goodwin LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Hartford HealthCare Medical Group, Inc., Primary Care Office |
| WORKSITE ADDRESS2 | 5 Founders Street, Suite 101 |
| LCA CASE WORKLOC1 CITY | Willimantic |
| WORKSITE COUNTY | WINDHAM |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06226 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE TO | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 136157 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Castillo |
| PREPARER FIRST NAME | Fabiola |
| PREPARER BUSINESS NAME | Shipman & Goodwin LLP |
| PREPARER EMAIL | fcastillo@goodwin.com |
