\ H1B CASE NUMBER I-200-21257-582762



CASE NUNBER: I-200-21257-582762

LCA CASE NUMBERI-200-21257-582762
STATUSCertified
LCA CASE SUBMIT2021-09-14
DECISION DATE2021-09-21
VISA CLASSH-1B
LCA CASE JOB TITLEResident
SOC CODE29-1069.00
SOC TITLEPhysicians and Surgeons, All Other
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-11-15
END DATE2022-11-14
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
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 ADDRESS1399 REVOLUTION DRIVE
EMPLOYER POC ADDRESS2STE 270
EMPLOYER POC CITYSOMERVILLE
EMPLOYER POC STATEMA
EMPLOYER POC POSTAL CODE2145
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18572822421
EMPLOYER POC EMAILnpalatas@partners.org
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS155 Fruit Street
LCA CASE WORKLOC1 CITYBoston
WORKSITE COUNTYBOSTON CITY
LCA CASE WORKLOC1 STATEMA
WORKSITE POSTAL CODE2114
LCA CASE WAGE RATE FROM65000
LCA CASE WAGE RATE TO78000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE65000
PW UNIT OF PAYYear
PW OTHER SOURCESurvey
PW OTHER YEAR2020
PW SURVEY PUBLISHERAAMC
PW SURVEY NAMESurvey of Resident/Fellow Stipends and Benefits
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H-1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEFasano
PREPARER FIRST NAMEMia
PREPARER MIDDLE INITIALL
PREPARER BUSINESS NAMEOffice for Global Professionals and Scholars
PREPARER EMAILmfasano@partners.org