| LCA CASE NUMBER | I-200-19287-085561 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-14 |
| DECISION DATE | 2019-10-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Moonlighter) |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-11-14 |
| END DATE | 2020-08-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| 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 | 02145 |
| 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 | 02145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18572822421 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 55 Fruit Street |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02114 |
| LCA CASE WAGE RATE FROM | 185.0 |
| LCA CASE WAGE RATE TO | 210.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 63.09 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Fasano |
| PREPARER FIRST NAME | Mia |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Partners Office for International Professionals and Students |
| PREPARER EMAIL | [email protected] |
