| LCA CASE NUMBER | I-200-20328-924321 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-23 |
| DECISION DATE | 2020-12-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-08 |
| END DATE | 2024-01-07 |
| 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 | Signature Healthcare Medical Group, Inc. |
| TRADE NAME DBA | Signature Healthcare |
| EMPLOYER ADDRESS1 | 680 Centre Street |
| EMPLOYER CITY | Brockton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2302 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15089417000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BRASSARD |
| EMPLOYER POC FIRST NAME | Brenda |
| EMPLOYER POC JOB TITLE | VP of Human Resources |
| EMPLOYER POC ADDRESS 1 | 680 Centre Street |
| EMPLOYER POC CITY | Brockton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02302 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15089417000 |
| EMPLOYER POC EMAIL | bbrassard@signature-healthcare.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khanbabai |
| AGENT ATTORNEY FIRST NAME | Mahsa |
| AGENT ATTORNEY ADDRESS1 | 115 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1B |
| AGENT ATTORNEY CITY | North Easton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2356 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15082972065 |
| AGENT ATTORNEY EMAIL ADDRESS | mahsa@mk-immigration.com |
| LAWFIRM NAME BUSINESS NAME | Khanbabai Immigration Law |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 130 Quincy Avenue |
| LCA CASE WORKLOC1 CITY | Brockton |
| WORKSITE COUNTY | BROCKTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2302 |
| LCA CASE WAGE RATE FROM | 264347 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
