| LCA CASE NUMBER | I-200-21210-491152 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-29 |
| DECISION DATE | 2021-08-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General and Hepatobiliary Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| 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 | Riverside Surgical Associates, P.C. |
| EMPLOYER ADDRESS1 | 275 Varnum Avenue |
| EMPLOYER ADDRESS2 | Suite 203 |
| EMPLOYER CITY | Lowell |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1854 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19784584300 |
| NAICS CODE | 561110 |
| EMPLOYER POC LAST NAME | Mazraany |
| EMPLOYER POC FIRST NAME | Wassim |
| EMPLOYER POC JOB TITLE | Chief of Surgery |
| EMPLOYER POC ADDRESS1 | 275 Varnum Avenue |
| EMPLOYER POC ADDRESS2 | Suite 203 |
| EMPLOYER POC CITY | Lowell |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1854 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19784584300 |
| EMPLOYER POC EMAIL | mnelson@riversidesurg.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Curtis |
| AGENT ATTORNEY FIRST NAME | Maya |
| AGENT ATTORNEY MIDDLE NAME | Dwaraka |
| AGENT ATTORNEY ADDRESS1 | 103 East Liberty Street |
| AGENT ATTORNEY ADDRESS2 | Suite 211 |
| AGENT ATTORNEY CITY | Ann Arbor |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17343693973 |
| AGENT ATTORNEY EMAIL ADDRESS | maya@mayacurtislaw.com |
|
| LAWFIRM NAME BUSINESS NAME | Maya Curtis Law PLLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Lowell General Hospital |
| WORKSITE ADDRESS1 | 295 Varnum Avenue |
| LCA CASE WORKLOC1 CITY | Lowell |
| WORKSITE COUNTY | LOWELL CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1854 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Curtis |
| PREPARER FIRST NAME | Maya |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Maya Curtis Law PLLC |
| PREPARER EMAIL | maya@mayacurtislaw.com |
