| CASE NUMBER | I-200-25017-626323 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/17/2025 |
| DECISION DATE | 1/27/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist |
| SOC CODE | 29-1217.00 |
| SOC TITLE | Neurologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/14/2025 |
| END DATE | 7/13/2028 |
| 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 | BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 41 BREWSTER ROAD |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | BRISTOL |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18605853305 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | LAPRISE |
| EMPLOYER POC FIRST NAME | CHRISTINE |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP OF OPERATIONS |
| EMPLOYER POC ADDRESS1 | 41 BREWSTER ROAD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | BRISTOL |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18605853305 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | claprise@bristolhospital.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY MIDDLE NAME | |
| 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 PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jan@wcslaw.com |
| 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 | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 15 Riverside Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Bristol |
| WORKSITE COUNTY | HARTFORD CITY |
| WORKSITE STATE | CT |
| WORKSITE POSTAL CODE | 6010 |
| WAGE RATE OF PAY FROM | $350,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $370,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-07-14 |
