| LCA CASE NUMBER | I-200-21132-306647 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | 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 | Stewart |
| EMPLOYER POC FIRST NAME | Tyrita |
| EMPLOYER POC JOB TITLE | Associate Director Clinician Recruitment & Onboarding |
| EMPLOYER POC ADDRESS 1 | 99 Hawley Lane |
| EMPLOYER POC ADDRESS 2 | 1st Floor |
| EMPLOYER POC CITY | Stratford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12035024921 |
| EMPLOYER POC EMAIL | tyrita.stewart@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, 18th Floor |
| 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 and Hennessey LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | CONNECTICUT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Bridgeport Hospital |
| WORKSITE ADDRESS1 | 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 | 246644 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Buydos |
| PREPARER FIRST NAME | Jill |
| PREPARER MIDDLE INITIAL | G. |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| PREPARER EMAIL | jbuydos@carmodylaw.com |
