| LCA CASE NUMBER | I-200-20036-299540 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-02-05 |
| DECISION DATE | 2021-03-01 |
| ORIGINAL CERT DATE | 2020-02-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Fellow |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2021-06-30 |
| 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 | Children's Hospital Corporation |
| TRADE NAME DBA | Boston Children's Hospital |
| EMPLOYER ADDRESS1 | 300 Longwood Avenue |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2115 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16173552146 |
| NAICS CODE | 622310 |
| EMPLOYER POC LAST NAME | Robinson |
| EMPLOYER POC FIRST NAME | Gail |
| EMPLOYER POC MIDDLE NAME | Catherine |
| EMPLOYER POC JOB TITLE | Immigration Manager |
| EMPLOYER POC ADDRESS 1 | 300 Longwood Avenue |
| EMPLOYER POC ADDRESS 2 | Boston Children's Hospital |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02115 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16173552146 |
| EMPLOYER POC EMAIL | gail.robinson@childrens.harvard.edu |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 Longwood Avenue |
| WORKSITE ADDRESS2 | Boston Children's Hospital |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2115 |
| LCA CASE WAGE RATE FROM | 91000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 77563 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bennett |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Boston Children's Hospital |
| PREPARER EMAIL | elizabeth.bennett@childrens.harvard.edu |
