| LCA CASE NUMBER | I-200-21026-034723 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-26 |
| DECISION DATE | 2021-02-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Vasc IC Coverage Physician |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-12 |
| END DATE | 2024-06-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hartford HealthCare Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 1290 Silas Deane Highway |
| EMPLOYER CITY | Wethersfield |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18553006933 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Dilly |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC JOB TITLE | Human Resources Representative |
| EMPLOYER POC ADDRESS 1 | 1290 Silas Deane Highway |
| EMPLOYER POC CITY | Wethersfield |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06109 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19084471099 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 1000 |
| AGENT ATTORNEY CITY | Manchester |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03105-1000 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032281277 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | GoffWilson, P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 201 North Mountain Road |
| LCA CASE WORKLOC1 CITY | Plainville |
| WORKSITE COUNTY | PLAINVILLE |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6062 |
| LCA CASE WAGE RATE FROM | 386891.73 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
