| LCA CASE NUMBER | I-200-22349-642439 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-12-15 |
| DECISION DATE | 2022-12-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-01-01 |
| END DATE | 2025-06-22 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Fairview Hospital |
| EMPLOYER ADDRESS1 | 29 Lewis Avenue |
| EMPLOYER CITY | Great Barrington |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01230 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14138549643 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Borek |
| EMPLOYER POC FIRST NAME | Patrick |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 725 North Street |
| EMPLOYER POC CITY | Pittsfield |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14134472783 |
| EMPLOYER POC EMAIL | pborek@bhs1.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Saliba |
| AGENT ATTORNEY FIRST NAME | Susan |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | SamiaLaw, 745 High Street |
| AGENT ATTORNEY ADDRESS2 | Suite 215 |
| AGENT ATTORNEY CITY | Westwood |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02090 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17814611500 |
| AGENT ATTORNEY EMAIL ADDRESS | attorney@samialaw.com |
| LAWFIRM NAME BUSINESS NAME | SamiaLaw |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 29 Lewis Avenue |
| LCA CASE WORKLOC1 CITY | Great Barrington |
| WORKSITE COUNTY | GREAT BARRINGTON |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01230 |
| LCA CASE WAGE RATE FROM | 114.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 67.59 |
| PW UNIT OF PAY | Hour |
| 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 |
