| LCA CASE NUMBER | I-200-20121-532774 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-30 |
| DECISION DATE | 2020-05-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST PHYSICIAN |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. |
| EMPLOYER ADDRESS1 | 32 VALLEY STREET |
| EMPLOYER ADDRESS2 | LEVEL D |
| EMPLOYER CITY | BRISTOL |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18605853469 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | VINHATEIRO |
| EMPLOYER POC FIRST NAME | JESSICA |
| EMPLOYER POC JOB TITLE | ADMINISTRATIVE ASSISTANT TO THE EXECUTIVE DIRECTOR |
| EMPLOYER POC ADDRESS1 | 32 VALLEY STREET |
| EMPLOYER POC ADDRESS2 | LEVEL D |
| EMPLOYER POC CITY | BRISTOL |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18605853469 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 1800 MASSACHUSETTS AVE., NW |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12024830053.0 |
| AGENT ATTORNEY PHONE EXT | 104.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | MAGGIO KATTAR |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE UNITED STATES |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Bristol Hospital |
| WORKSITE ADDRESS1 | 41 BREWSTER ROAD |
| LCA CASE WORKLOC1 CITY | BRISTOL |
| WORKSITE COUNTY | BRISTOL CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6010 |
| LCA CASE WAGE RATE FROM | 240000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 60736.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
