| LCA CASE NUMBER | I-200-23052-789658 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-21 |
| DECISION DATE | 2023-02-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2025-06-30 |
| 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 | 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 | 18609729044 |
| 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 | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Hartford HealthCare Medical Group, Inc., Primary Care Office |
| WORKSITE ADDRESS2 | 336 North Main Street |
| LCA CASE WORKLOC1 CITY | West Hartford |
| WORKSITE COUNTY | WEST HARTFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06117 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE TO | 274500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 145454 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Eckert |
| PREPARER FIRST NAME | Brenda |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Shipman & Goodwin LLP |
| PREPARER EMAIL | beckert@goodwin.com |
