| LCA CASE NUMBER | I-200-24071-787257 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-03-11 |
| DECISION DATE | 2024-03-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1216 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-25 |
| END DATE | 2027-07-24 |
| 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 | Trinity Health of New England Provider Network Organization, Inc. |
| TRADE NAME DBA | Trinity Health of New England Medical Group |
| EMPLOYER ADDRESS1 | 1000 Asylum Avenue |
| EMPLOYER ADDRESS2 | 4th Floor |
| EMPLOYER CITY | Hartford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18607144000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Harden |
| EMPLOYER POC FIRST NAME | Val |
| EMPLOYER POC JOB TITLE | Physician and Adv. Practitioner Recruitment Specialist |
| EMPLOYER POC ADDRESS1 | 1000 Asylum Avenue |
| EMPLOYER POC ADDRESS2 | 4th Floor |
| EMPLOYER POC CITY | Hartford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12035058513 |
| EMPLOYER POC EMAIL | Val.Harden@TrinityHealthOfNE.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cross |
| AGENT ATTORNEY FIRST NAME | Jessica |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 8529 Six Forks Road, Forum IV |
| AGENT ATTORNEY ADDRESS2 | Suite 600 |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27615 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19197879700 |
| AGENT ATTORNEY EMAIL ADDRESS | Rachel.Bradley@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3801 East Main Street |
| LCA CASE WORKLOC1 CITY | Waterbury |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06705 |
| LCA CASE WAGE RATE FROM | 272889 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 267134 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |