\ H1B CASE NUMBER I-200-25174-120913



CASE NUNBER: I-200-25174-120913

LCA CASE NUMBERI-200-25174-120913
STATUSWithdrawn
LCA CASE SUBMIT2025-06-23
DECISION DATE2025-06-25
VISA CLASSH-1B
LCA CASE JOB TITLEClinical Instructor
SOC CODE29-1021
SOC TITLEDentists, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-11-03
END DATE2028-11-02
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION1
LCA CASE EMPLOYER NAMEUniversity of Connecticut Health Center
EMPLOYER ADDRESS1263 Farmington Avenue
EMPLOYER ADDRESS2Department of Human Resources
EMPLOYER CITYFarmington
EMPLOYER STATECT
EMPLOYER POSTAL CODE06030
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18606794472
EMPLOYER FEIN52-1725543
NAICS CODE611310
EMPLOYER POC LAST NAMEDornenburg
EMPLOYER POC FIRST NAMEKaitlin
EMPLOYER POC JOB TITLEHuman Resources Specialist
EMPLOYER POC ADDRESS1263 Farmington Avenue
EMPLOYER POC ADDRESS2Department of Human Resources
EMPLOYER POC CITYFarmington
EMPLOYER POC STATECT
EMPLOYER POC POSTAL CODE06030
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18606794472
EMPLOYER POC EMAILdornenburg@uchc.edu
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYTrue
SECONDARY ENTITY BUSINESS NAMECommunity Health Services
WORKSITE ADDRESS1500 Albany Avenue
LCA CASE WORKLOC1 CITYHartford
WORKSITE COUNTYHARTFORD CITY
LCA CASE WORKLOC1 STATECT
WORKSITE POSTAL CODE06120
LCA CASE WAGE RATE FROM96273
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE84198
PW UNIT OF PAYYear
PW WAGE LEVELI
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business