| LCA CASE NUMBER | I-200-16113-905692 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/22/16 |
| DECISION DATE | 4/28/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/18 |
| LCA CASE EMPLOYER NAME | BAYSTATE MEDICAL CENTER |
| EMPLOYER ADDRESS | 759 CHESTNUT ST |
| EMPLOYER CITY | SPRINGFIELD |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01199 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4137941155 |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | FELLOW |
| SOC CODE | 29-9099 |
| SOC NAME | HEALTHCARE PRACTITIONERS AND TECHNICAL WORKERS, |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 51,272.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 66,800.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | SPRINGFIELD |
| WORKSITE COUNTY | HAMPDEN |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01199 |
