| LCA CASE NUMBER | I-200-16139-416356 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/18/16 |
| DECISION DATE | 5/24/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/20/16 |
| EMPLOYMENT END DATE | 6/23/17 |
| LCA CASE EMPLOYER NAME | BETH ISRAEL DEACONESS MEDICAL CENTER, INC. |
| EMPLOYER ADDRESS | 330 BROOKLINE AVENUE |
| EMPLOYER CITY | BOSTON |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6176329452 |
| AGENT ATTORNEY NAME | DESAI, PRASANT |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | HOUSESTAFF PGY 1 |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 54,029.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2014 |
| PW SOURCE OTHER | AAMC SURVEY OF RESIDENT/FELLOW STIPENDS AND BENEFITS REPORT |
| LCA CASE WAGE RATE FROM | 60,330.49 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | WORCESTER |
| WORKSITE COUNTY | WORCESTER |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01608 |
