| LCA CASE NUMBER | I-200-19291-095699 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-18 |
| DECISION DATE | 2019-10-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-07 |
| END DATE | 2022-11-06 |
| 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 | Connecticut Children's Specialty Group, Inc. |
| EMPLOYER ADDRESS1 | 282 Washington Street |
| EMPLOYER CITY | Hartford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18608375553 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Stevens |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Assistant General Counsel |
| EMPLOYER POC ADDRESS1 | 282 Washington Street |
| EMPLOYER POC CITY | Hartford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06106 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18608375553 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sigg |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 280 Trumbull Street |
| AGENT ATTORNEY ADDRESS2 | Floor 28 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06106 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602758341.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Robinson & Cole LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Superior Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 800 Connecticut Boulevard |
| LCA CASE WORKLOC1 CITY | East Hartford |
| WORKSITE COUNTY | EAST HARTFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06108 |
| LCA CASE WAGE RATE FROM | 170000.0 |
| LCA CASE WAGE RATE TO | 210000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127816.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sigg |
| PREPARER FIRST NAME | Lauren |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Robinson and Cole LLP |
| PREPARER EMAIL | [email protected] |
