| LCA CASE NUMBER | I-200-20118-520389 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-27 |
| DECISION DATE | 2020-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-21 |
| END DATE | 2023-08-20 |
| 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 | Brockton Neighborhood Health Center |
| EMPLOYER ADDRESS1 | 63 Main Street |
| EMPLOYER CITY | Brockton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15089843203 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Joss |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 63 Main Street |
| EMPLOYER POC CITY | Brockton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15089843203 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Khanbabai |
| AGENT ATTORNEY FIRST NAME | Mahsa |
| AGENT ATTORNEY ADDRESS1 | 115 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1B |
| AGENT ATTORNEY CITY | North Easton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2356 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15082972065.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Khanbabai Immigration Law |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Superior Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 63 Main Street |
| LCA CASE WORKLOC1 CITY | Brockton |
| WORKSITE COUNTY | BROCKTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2301 |
| LCA CASE WAGE RATE FROM | 210535.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 204277.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
