| LCA CASE NUMBER | I-200-18060-210483 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/9/18 |
| DECISION DATE | 3/15/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 3/12/18 |
| EMPLOYMENT END DATE | 3/11/21 |
| LCA CASE EMPLOYER NAME | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION, INC. |
| EMPLOYER ADDRESS | 114 WOODLAND STREET |
| EMPLOYER CITY | HARTFORD |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8607144236 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | WIZNER, ANDREW |
| AGENT ATTORNEY CITY | HARTFORD |
| AGENT ATTORNEY STATE | CT |
| LCA CASE JOB TITLE | STAFF PHYSICIAN (HEMATOLOGIST/ONCOLOGIST) |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 122,117.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 150,000.00 |
| LCA CASE WAGE RATE TO | 500,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | HARTFORD |
| WORKSITE COUNTY | HARTFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06105 |
