\ H1B CASE NUMBER I-200-21088-180644



CASE NUNBER: I-200-21088-180644

LCA CASE NUMBERI-200-21088-180644
STATUSCertified
LCA CASE SUBMIT2021-03-29
DECISION DATE2021-04-05
VISA CLASSH-1B
LCA CASE JOB TITLEMoonlighter
SOC CODE29-1069.00
SOC TITLEPhysicians and Surgeons, All Other
FULL TIME POSITIONFalse
LCA CASE EMPLOYMENT START DATE2021-07-01
END DATE2022-06-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEMass General Brigham Incorporated
EMPLOYER ADDRESS1Office for Global Professionals and Scholars
EMPLOYER ADDRESS2399 Revolution Drive
EMPLOYER CITYSomerville
EMPLOYER STATEMA
EMPLOYER POSTAL CODE2145
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18572822421
NAICS CODE622110
EMPLOYER POC LAST NAMEPalatas
EMPLOYER POC FIRST NAMENoel
EMPLOYER POC JOB TITLEManager, GPS
EMPLOYER POC ADDRESS 1399 REVOLUTION DRIVE
EMPLOYER POC ADDRESS 2STE 270
EMPLOYER POC CITYSOMERVILLE
EMPLOYER POC STATEMA
EMPLOYER POC POSTAL CODE02145
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18572822421
EMPLOYER POC EMAILnpalatas@partners.org
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS175 Francis Street
LCA CASE WORKLOC1 CITYBoston
WORKSITE COUNTYBOSTON CITY
LCA CASE WORKLOC1 STATEMA
WORKSITE POSTAL CODE2115
LCA CASE WAGE RATE FROM85
LCA CASE WAGE RATE TO100
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE73.48
PW UNIT OF PAYHour
PW WAGE LEVELII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS5
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEFasano
PREPARER FIRST NAMEMia
PREPARER MIDDLE INITIALL
PREPARER BUSINESS NAMEOffice for Global and Professionals and Scholars
PREPARER EMAILmfasano@partners.org