| LCA CASE NUMBER | I-200-22216-396283 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-04 |
| DECISION DATE | 2022-08-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-05 |
| END DATE | 2025-10-04 |
| 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 | Middlesex Hospital |
| TRADE NAME DBA | Middlesex Health |
| EMPLOYER ADDRESS1 | 28 Crescent Street |
| EMPLOYER CITY | Middletown |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6457 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18603588749 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mielczarek |
| EMPLOYER POC FIRST NAME | Samantha |
| EMPLOYER POC JOB TITLE | Talent Acquisition Specialist |
| EMPLOYER POC ADDRESS1 | 28 Crescent Street |
| EMPLOYER POC CITY | Middletown |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18603588749 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Ave., 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 | 18607856900 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Wizner Law, PLLC |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 28 Crescent Street |
| LCA CASE WORKLOC1 CITY | Middletown |
| WORKSITE COUNTY | MIDDLETOWN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6457 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 280800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zhu |
| PREPARER FIRST NAME | Yunli |
| PREPARER BUSINESS NAME | Wizner Law, PLLC |
| PREPARER EMAIL | [email protected] |
