| LCA CASE NUMBER | I-200-21088-181807 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-29 |
| DECISION DATE | 2021-06-21 |
| ORIGINAL CERT DATE | 2021-04-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Fellow |
| SOC CODE | 29-1069.12 |
| SOC TITLE | Urologists |
| 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 | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Beth Israel Deaconess Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 330 Brookline Avenue |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16176329406 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Venckus |
| EMPLOYER POC FIRST NAME | Christina |
| EMPLOYER POC JOB TITLE | Senior Business Partner, Employee Relations |
| EMPLOYER POC ADDRESS 1 | 330 Brookline Avenue |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02215 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16176329406 |
| EMPLOYER POC EMAIL | cvenckus@bidmc.harvard.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Travers |
| AGENT ATTORNEY FIRST NAME | Maura |
| AGENT ATTORNEY ADDRESS1 | 2 Seaport Lane - Seaport East |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2210 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16179464814 |
| AGENT ATTORNEY EMAIL ADDRESS | bmokrzycki@seyfarth.com |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | MA |
|
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 330 Brookline Avenue |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2215 |
| LCA CASE WAGE RATE FROM | 67246 |
| LCA CASE WAGE RATE TO | 124093 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67246 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Mokrzycki |
| PREPARER FIRST NAME | Brady |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP |
| PREPARER EMAIL | bmokrzycki@seyfarth.com |
