| LCA CASE NUMBER | I-200-21196-463639 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-07-15 |
| DECISION DATE | 2022-07-20 |
| ORIGINAL CERT DATE | 2021-07-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager of Infection Control |
| SOC CODE | 19-1041.00 |
| SOC TITLE | Epidemiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-21 |
| END DATE | 2024-07-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Baystate Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 759 Chestnut Street |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1199 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MA |
| EMPLOYER PHONE | 14137940000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hartman |
| EMPLOYER POC FIRST NAME | Carolynn |
| EMPLOYER POC JOB TITLE | Provider Recruitment Coordinator |
| EMPLOYER POC ADDRESS1 | Office of Physician & Adv. Practitioner Recruitment |
| EMPLOYER POC ADDRESS2 | 280 Chestnut Street |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1199 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14137942325 |
| EMPLOYER POC EMAIL | carolynn.hartman@baystatehealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Berger |
| AGENT ATTORNEY FIRST NAME | Dan |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | Curran, Berger & Kludt |
| AGENT ATTORNEY ADDRESS2 | 79 Masonic St |
| AGENT ATTORNEY CITY | Northampton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 1060 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14135843232 |
| AGENT ATTORNEY EMAIL ADDRESS | dhb@cbkimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Curran, Berger & Kludt |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Baystate Medical Center |
| WORKSITE ADDRESS2 | 759 Chestnut Street |
| LCA CASE WORKLOC1 CITY | Springfield |
| WORKSITE COUNTY | SPRINGFIELD CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1199 |
| LCA CASE WAGE RATE FROM | 104234 |
| LCA CASE WAGE RATE TO | 150931 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95555 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 8 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
