| LCA CASE NUMBER | I-200-22154-242204 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-03 |
| DECISION DATE | 2022-06-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-29 |
| END DATE | 2025-08-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. |
| TRADE NAME DBA | N / A |
| EMPLOYER ADDRESS1 | 32 VALLEY STREET |
| EMPLOYER ADDRESS2 | LEVEL D |
| EMPLOYER CITY | BRISTOL |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18605853469 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | LAPRISE |
| EMPLOYER POC FIRST NAME | BRIGITTE |
| EMPLOYER POC JOB TITLE | ASSISTANT TO VP OF AMBULATORY SERVICES & EXECUTIVE DIRECTOR |
| EMPLOYER POC ADDRESS1 | 41 BREWSTER ROAD |
| EMPLOYER POC CITY | BRISTOL |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18605853305 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY ADDRESS1 | 6931 ARLINGTON ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | BETHESDA |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MD |
| AGENT ATTORNEY PHONE | 12405830003 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | WRIGHT, CONSTABLE & SKEEN, L.L.P. |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE UNITED STATES |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 15 Riverside Avenue |
| LCA CASE WORKLOC1 CITY | Bristol |
| WORKSITE COUNTY | HARTFORD CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06010 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 61526 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SAMI |
| PREPARER FIRST NAME | OLA |
| PREPARER BUSINESS NAME | WRIGHT CONSTABLE & SKEEN LLP |
| PREPARER EMAIL | [email protected] |
