| CASE NUMBER | I-200-24194-192566 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/12/2024 |
| DECISION DATE | 7/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Physicist Associate Diagnostic Radiology |
| SOC CODE | 19-2012.00 |
| SOC TITLE | Physicists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Yale-New Haven Hospital |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 20 York Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | New Haven |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06510 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12036884242 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Maindonald |
| EMPLOYER POC FIRST NAME | Carolyn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. Talent Acquisition Partner |
| EMPLOYER POC ADDRESS1 | 659 George Street |
| EMPLOYER POC ADDRESS2 | Selina Lewis Building, 3rd Floor |
| EMPLOYER POC CITY | New Haven |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06511 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12036885083 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | carolyn.maindonald@ynhh.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street |
| AGENT ATTORNEY ADDRESS2 | 18th Floor |
| AGENT ATTORNEY CITY | New Haven |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12037843104 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | LHopwood@carmodylaw.com |
| LAWFIRM NAME BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 20 York Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New Haven |
| WORKSITE COUNTY | NEW HAVEN CITY |
| WORKSITE STATE | CT |
| WORKSITE POSTAL CODE | 06510 |
| WAGE RATE OF PAY FROM | 115,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $85,030.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Saravia |
| PREPARER FIRST NAME | Maria |
| PREPARER MIDDLE INITIAL | I. |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| PREPARER EMAIL | MSaravia@carmodylaw.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
