\ H1B CASE NUMBER I-200-25015-618727



CASE NUNBER: I-200-25015-618727

LCA CASE NUMBERI-200-25015-618727
STATUSCertified
LCA CASE SUBMIT2025-01-14
DECISION DATE2025-01-22
VISA CLASSH-1B
LCA CASE JOB TITLEMoonlighter
SOC CODE29-1229.00
SOC TITLEPhysicians, All Other
FULL TIME POSITIONFalse
LCA CASE EMPLOYMENT START DATE2025-07-01
END DATE2028-06-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEMassachusetts General Physicians Organization
EMPLOYER ADDRESS1Office for Global Professionals and Scholars
EMPLOYER ADDRESS2399 Revolution Drive Ste 270
EMPLOYER CITYSOMERVILLE
EMPLOYER STATEMA
EMPLOYER POSTAL CODE02145
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18572822421
EMPLOYER FEIN04-2807148
NAICS CODE621111
EMPLOYER POC LAST NAMEPalatas
EMPLOYER POC FIRST NAMENoel
EMPLOYER POC JOB TITLEManager, GPS
EMPLOYER POC ADDRESS1399 REVOLUTION DRIVE
EMPLOYER POC ADDRESS2STE 270
EMPLOYER POC CITYSOMERVILLE
EMPLOYER POC STATEMA
EMPLOYER POC POSTAL CODE02145
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18572822421
EMPLOYER POC EMAILnpalatas@mgb.org
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS155 Fruit Street
LCA CASE WORKLOC1 CITYBoston
WORKSITE COUNTYBOSTON CITY
LCA CASE WORKLOC1 STATEMA
WORKSITE POSTAL CODE02114
LCA CASE WAGE RATE FROM120
LCA CASE WAGE RATE TO150
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE115
PW UNIT OF PAYHour
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEPawelski
PREPARER FIRST NAMEAnthony
PREPARER MIDDLE INITIALD
PREPARER BUSINESS NAMEOffice for Global Professionals and Scholars
PREPARER EMAILapawelski@mgb.org