| LCA CASE NUMBER | I-200-20101-477821 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-10 |
| DECISION DATE | 2020-04-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-04-13 |
| END DATE | 2023-04-12 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 2 |
| LCA CASE EMPLOYER NAME | Anesthesia Associates of Willimantic, P.C. |
| EMPLOYER ADDRESS1 | 1185 Main Street |
| EMPLOYER ADDRESS2 | Suite 2 |
| EMPLOYER CITY | Willimantic |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18604237558 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Campagnone |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC JOB TITLE | VP, Partner |
| EMPLOYER POC ADDRESS1 | 1185 Main Street |
| EMPLOYER POC ADDRESS2 | Suite 2 |
| EMPLOYER POC CITY | Willimantic |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18604237558 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100.0 |
| AGENT ATTORNEY PHONE EXT | 108.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Manchester Hospital |
| WORKSITE ADDRESS1 | 71 Haynes Street |
| LCA CASE WORKLOC1 CITY | Manchester |
| WORKSITE COUNTY | MANCHESTER |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6040 |
| LCA CASE WAGE RATE FROM | 140.22 |
| LCA CASE WAGE RATE TO | 216.34 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 8 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Baliko |
| PREPARER FIRST NAME | Frank |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| PREPARER EMAIL | [email protected] |
