| LCA CASE NUMBER | I-200-20304-892777 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-30 |
| DECISION DATE | 2020-11-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Global Health Fellowship) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-06 |
| END DATE | 2023-11-05 |
| 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 | Family Health Center of Worcester |
| EMPLOYER ADDRESS1 | 26 Queen Street |
| EMPLOYER CITY | Worcester |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1610 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088607975 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Brady |
| EMPLOYER POC FIRST NAME | Louis |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS 1 | 26 Queen Street |
| EMPLOYER POC CITY | Worcester |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01610 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15088607975 |
| EMPLOYER POC EMAIL | helen.kantor@fhcw.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rybalnik |
| AGENT ATTORNEY FIRST NAME | Isabel |
| AGENT ATTORNEY ADDRESS1 | 161 Worcester Rd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 501 |
| AGENT ATTORNEY CITY | Framingham |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 1701 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15085323508 |
| AGENT ATTORNEY EMAIL ADDRESS | irybalnik@fletchertilton.com |
| LAWFIRM NAME BUSINESS NAME | Fletcher Tilton, PC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 26 Queen Street |
| LCA CASE WORKLOC1 CITY | Worcester |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1607 |
| LCA CASE WAGE RATE FROM | 69770 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 69770 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019 |
| PW SURVEY PUBLISHER | AAMC |
| PW SURVEY NAME | Survey of Resident/Fellow Stipends and Benefits Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
