| LCA CASE NUMBER | I-200-21139-325106 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-19 |
| DECISION DATE | 2021-05-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-30 |
| END DATE | 2024-07-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Signature Healthcare Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 110 Liberty Street |
| EMPLOYER CITY | Brockton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15089417000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Brassard |
| EMPLOYER POC FIRST NAME | Brenda |
| EMPLOYER POC MIDDLE NAME | W. |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS 1 | 680 Centre Street |
| EMPLOYER POC CITY | Brockton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02302 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15089417545 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Desai |
| AGENT ATTORNEY FIRST NAME | Prasant |
| AGENT ATTORNEY MIDDLE NAME | Dhirajlal |
| AGENT ATTORNEY ADDRESS1 | 38 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2129 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16174821010 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Iandoli Desai & Cronin P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 680 Centre Street |
| LCA CASE WORKLOC1 CITY | Brockton |
| WORKSITE COUNTY | BROCKTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2302 |
| LCA CASE WAGE RATE FROM | 118934 |
| LCA CASE WAGE RATE TO | 235000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118934 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
