| LCA CASE NUMBER | I-200-20057-353566 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-26 |
| DECISION DATE | 2020-03-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-04-19 |
| END DATE | 2020-05-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Massachusetts General Physicians Organization |
| EMPLOYER ADDRESS1 | Partners Office for International Professionals and Students |
| EMPLOYER ADDRESS2 | 399 Revolution Drive Ste 270 |
| EMPLOYER CITY | SOMERVILLE |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2145 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18572822421 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Palatas |
| EMPLOYER POC FIRST NAME | Noel |
| EMPLOYER POC JOB TITLE | Manager, PIPS |
| EMPLOYER POC ADDRESS1 | 399 Revolution Drive |
| EMPLOYER POC ADDRESS2 | Suite 270 |
| EMPLOYER POC CITY | Somerville |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18572822421 |
| EMPLOYER POC EMAIL | npalatas@partners.org |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | ST ELIZABETH'S MEDICAL CENTER |
| WORKSITE ADDRESS1 | 736 CAMBRIDGE STREET |
| LCA CASE WORKLOC1 CITY | BRIGHTON |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2135 |
| LCA CASE WAGE RATE FROM | 90.0 |
| LCA CASE WAGE RATE TO | 127.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 58.48 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | ROSENBERG |
| PREPARER FIRST NAME | MARISSA |
| PREPARER BUSINESS NAME | PARTNERS HEALTHCARE |
| PREPARER EMAIL | MROSENBERG5@PARTNERS.ORG |