| LCA CASE NUMBER | I-200-21041-067941 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-02-10 |
| DECISION DATE | 2021-08-17 |
| ORIGINAL CERT DATE | 2021-02-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Fellow |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2022-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Brigham and Women's Hospital |
| EMPLOYER ADDRESS1 | Office for Global Professionals and Scholars |
| EMPLOYER ADDRESS2 | 399 Revolution Drive Ste 270 |
| EMPLOYER CITY | Somerville |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2145 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18572822821 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Palatas |
| EMPLOYER POC FIRST NAME | Noel |
| EMPLOYER POC JOB TITLE | Manager, GPS |
| EMPLOYER POC ADDRESS1 | 399 REVOLUTION DRIVE |
| EMPLOYER POC ADDRESS2 | STE 270 |
| EMPLOYER POC CITY | SOMERVILLE |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18572822421 |
| EMPLOYER POC EMAIL | npalatas@partners.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 60 Fenwood Road |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2115 |
| LCA CASE WAGE RATE FROM | 80000 |
| LCA CASE WAGE RATE TO | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78368 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | AAMC |
| PW SURVEY NAME | Survey of Resident/Fellow Stipends and Benefits |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Walsh |
| PREPARER FIRST NAME | Elaine |
| PREPARER BUSINESS NAME | Mass General Brigham Incorporated |
| PREPARER EMAIL | ewalsh21@partners.org |
