| LCA CASE NUMBER | I-200-16278-877163 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/4/2016 |
| DECISION DATE | 10/11/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/15/2016 |
| EMPLOYMENT END DATE | 10/14/2019 |
| LCA CASE EMPLOYER NAME | BAYSTATE MEDICAL PRACTICES, INC. |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 759 CHESTNUT STREET |
| EMPLOYER CITY | SPRINGFIELD |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01199 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 4137942571 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | CURRAN, JOSEPH |
| AGENT ATTORNEY CITY | NORTHAMPTON |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN & HOSPITALIST |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 152,776.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 192,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | SPRINGFIELD |
| WORKSITE COUNTY | HAMPDEN |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01199 |
