| LCA CASE NUMBER | I-200-22217-399561 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-05 |
| DECISION DATE | 2022-08-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN, HOSPITALIST |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-11-01 |
| END DATE | 2025-10-31 |
| 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 | SIGNATURE HEALTHCARE MEDICAL GROUP, INC |
| EMPLOYER ADDRESS1 | 680 CENTER STREET |
| EMPLOYER CITY | BROCKTON |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2302 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15089417000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BARRACK |
| EMPLOYER POC FIRST NAME | KATHLEEN |
| EMPLOYER POC JOB TITLE | MANAGER HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 680 CENTER STREET |
| EMPLOYER POC CITY | BROCKTON |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2302 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15089417063 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | KHANBABAI |
| AGENT ATTORNEY FIRST NAME | MAHSA |
| AGENT ATTORNEY ADDRESS1 | 115 MAIN ST |
| 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 |
| 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 | False |
| WORKSITE ADDRESS1 | 680 CENTER STREET |
| LCA CASE WORKLOC1 CITY | BROCTON |
| WORKSITE COUNTY | BROCKTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2302 |
| LCA CASE WAGE RATE FROM | 213262.4 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 144726 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KHANBABAI |
| PREPARER FIRST NAME | MAHSA |
| PREPARER BUSINESS NAME | KHANBABAI IMMIGRATION LAW |
| PREPARER EMAIL | [email protected] |
