| LCA CASE NUMBER | I-200-19331-171728 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-27 |
| DECISION DATE | 2019-12-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MD INTERNAL MEDICINE |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-21 |
| END DATE | 2023-04-20 |
| 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 | EDWARD M. KENNEDY COMMUNITY HEALTH CENTER |
| EMPLOYER ADDRESS1 | 650 LINCOLN STREET |
| EMPLOYER CITY | WORCESTER |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01605 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15088542122 |
| NAICS CODE | 6214 |
| EMPLOYER POC LAST NAME | MCGUIRE |
| EMPLOYER POC FIRST NAME | ANTONIA |
| EMPLOYER POC JOB TITLE | CEO/PRESIDENT |
| EMPLOYER POC ADDRESS1 | 650 LINCOLN STREET |
| EMPLOYER POC CITY | WORCESTER |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01605 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15088542122 |
| EMPLOYER POC EMAIL | TONI.MCGUIRE@KENNEDYCHC.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | LESTER |
| AGENT ATTORNEY FIRST NAME | GEORGE |
| AGENT ATTORNEY MIDDLE NAME | N. |
| AGENT ATTORNEY ADDRESS1 | 100 HIGH STREET |
| AGENT ATTORNEY ADDRESS2 | 3RD FLOOR |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175740400.0 |
| AGENT ATTORNEY EMAIL ADDRESS | KFORTUNE@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | EDWARD M. KENNEDY COMMUNITY HEALTH CENTER |
| WORKSITE ADDRESS2 | 354 WAVERLY STREET |
| LCA CASE WORKLOC1 CITY | FRAMINGHAM |
| WORKSITE COUNTY | FRAMINGHAM |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01702 |
| LCA CASE WAGE RATE FROM | 144200.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 136282.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | FORTUNE |
| PREPARER FIRST NAME | KEESHA |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| PREPARER EMAIL | KFORTUNE@FRAGOMEN.COM |
