| LCA CASE NUMBER | I-200-19276-068850 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-03 |
| DECISION DATE | 2019-10-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-20 |
| END DATE | 2023-02-19 |
| 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 | BAYSTATE MEDICAL PRACTICES, INC. |
| EMPLOYER ADDRESS1 | 759 CHESTNUT STREET |
| EMPLOYER CITY | SPRINGFIELD |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01199 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14137942571 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | HARTMAN |
| EMPLOYER POC FIRST NAME | CAROLYNN |
| EMPLOYER POC JOB TITLE | PROVIDER RECRUITMENT COORDINATOR |
| EMPLOYER POC ADDRESS1 | OFFICE OF PHYSICIAN & ADV PRACTITIONER RECRUITMENT |
| EMPLOYER POC ADDRESS2 | 280 CHESTNUT STREET |
| EMPLOYER POC CITY | SPRINGFIELD |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01199 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14137942325 |
| EMPLOYER POC EMAIL | CAROLYNN.HARTMAN@BAYSTATEHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | CURRAN |
| AGENT ATTORNEY FIRST NAME | JOSEPH |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 79 MASONIC STREET |
| AGENT ATTORNEY CITY | NORTHAMPTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 01060 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14135843232.0 |
| AGENT ATTORNEY EMAIL ADDRESS | JC@CBKIMMIGRATION.COM |
| LAWFIRM NAME BUSINESS NAME | CURRAN BERGER & KLUDT |
| STATE OF HIGHEST COURT | MA |
|
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | BAYSTATE MEDICAL CENTER |
| WORKSITE ADDRESS2 | 759 CHESTNUT STREET |
| LCA CASE WORKLOC1 CITY | SPRINGFIELD |
| WORKSITE COUNTY | HAMPDEN |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01199 |
| LCA CASE WAGE RATE FROM | 218000.0 |
| LCA CASE WAGE RATE TO | 318400.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
