| LCA CASE NUMBER | I-200-21166-400662 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-15 |
| DECISION DATE | 2021-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MD FAMILY MEDICINE |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-28 |
| END DATE | 2024-06-27 |
| 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 | EDWARD M. KENNEDY COMMUNITY HEALTH CENTER |
| EMPLOYER ADDRESS1 | 650 LINCOLN ST |
| EMPLOYER CITY | WORCESTER |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1605 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088542122 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | KERRIGAN |
| EMPLOYER POC FIRST NAME | STEPHEN |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | PRESIDENT & CEO |
| EMPLOYER POC ADDRESS 1 | 650 LINCOLN ST |
| EMPLOYER POC CITY | WORCESTER |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01605 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15085327315 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FRANCIS |
| AGENT ATTORNEY FIRST NAME | ELENA |
| AGENT ATTORNEY ADDRESS1 | 100 HIGH STREET |
| AGENT ATTORNEY ADDRESS2 | 3RD FLOOR |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175740400 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN DEL REY BERNSEN & LOEWY LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 354 WAVERLY ST |
| LCA CASE WORKLOC1 CITY | FRAMINGHAM |
| WORKSITE COUNTY | FRAMINGHAM |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1702 |
| LCA CASE WAGE RATE FROM | 160000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 135242 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BRADLEY |
| PREPARER FIRST NAME | LINDSEY |
| PREPARER BUSINESS NAME | FRAGOMEN DEL REY BERNSEN & LOEWY LLP |
| PREPARER EMAIL | [email protected] |
