| LCA CASE NUMBER | I-200-21167-404020 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-16 |
| DECISION DATE | 2021-06-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Adult Medicine/Primary Care) |
| 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 | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Dimock Community Health Center |
| EMPLOYER ADDRESS1 | 55 Dimock Street |
| EMPLOYER CITY | Roxbury |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2119 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16174428800 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Brandao-Prosser |
| EMPLOYER POC FIRST NAME | Yariela |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS 1 | 55 Dimock Street |
| EMPLOYER POC CITY | Roxbury |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02119 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16174428800 |
| EMPLOYER POC EMAIL | ybrandao@dimock.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sigg |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 280 Trumbull Street |
| AGENT ATTORNEY ADDRESS2 | Floor 28 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602758341 |
| AGENT ATTORNEY EMAIL ADDRESS | lsigg@rc.com |
| LAWFIRM NAME BUSINESS NAME | Robinson & Cole LLP |
| STATE OF HIGHEST COURT | CT |
|
| NAME OF HIGHEST STATE COURT | Connecticut Superior Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 55 Dimock Street |
| LCA CASE WORKLOC1 CITY | Roxbury |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2119 |
| LCA CASE WAGE RATE FROM | 124093 |
| LCA CASE WAGE RATE TO | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 124093 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |