| LCA CASE NUMBER | I-200-23111-954963 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-21 |
| DECISION DATE | 2023-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Nephrologist - Kidney |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-07 |
| END DATE | 2026-08-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Physicians Alliance of Connecticut, LLC |
| EMPLOYER ADDRESS1 | 322 East Main Street |
| EMPLOYER ADDRESS2 | Ste. 1B |
| EMPLOYER CITY | Branford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12034887228 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Simon |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 322 East Main Street |
| EMPLOYER POC ADDRESS2 | Ste. 1B |
| EMPLOYER POC CITY | Branford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12034887228 |
| EMPLOYER POC PHONE EXT | 271 |
| EMPLOYER POC EMAIL | dsimon@pactmd.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Roach |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | Arthur |
| AGENT ATTORNEY ADDRESS1 | 150 South Fifth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3460 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124861631 |
| AGENT ATTORNEY EMAIL ADDRESS | croach@fordharrison.com |
| LAWFIRM NAME BUSINESS NAME | Ford & Harrison LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Minnesota |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 Cellini Place |
| WORKSITE ADDRESS2 | Suite 102 |
| LCA CASE WORKLOC1 CITY | West Haven |
| WORKSITE COUNTY | WEST HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06516 |
| LCA CASE WAGE RATE FROM | 242008 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 242008 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
