| LCA CASE NUMBER | I-200-18114-781099 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/15/18 |
| DECISION DATE | 5/21/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/18 |
| EMPLOYMENT END DATE | 6/30/21 |
| LCA CASE EMPLOYER NAME | GRIFFIN HOSPITAL |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 130 DIVISION STREET |
| EMPLOYER CITY | DERBY |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06418 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 2037327327 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | ARIAS, BETSY |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PHYSICIAN IN A POST GRADUATE TRAINING PROGRAM |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 5 |
| NEW EMPLOYMENT | 5 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 57,674.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | AAMC SURVEY OF RESIDENT/FELLOW STIPENDS AND BENEFITS REPORT |
| LCA CASE WAGE RATE FROM | 57,674.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | DERBY |
| WORKSITE COUNTY | NEW HAVEN |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06418 |
