| LCA CASE NUMBER | I-200-21298-666421 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-25 |
| DECISION DATE | 2021-11-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-08 |
| END DATE | 2024-11-07 |
| 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 | UMass Memorial Medical Group, Inc. |
| EMPLOYER ADDRESS1 | One Biotech Park, 365 Plantation Street |
| EMPLOYER CITY | Worcester |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01605 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15083340312 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Vaughan |
| EMPLOYER POC FIRST NAME | Geraldine |
| EMPLOYER POC JOB TITLE | Senior VP, COO |
| EMPLOYER POC ADDRESS1 | One Biotech Park, 365 Plantation Street |
| EMPLOYER POC CITY | Worcester |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01605 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17744421520 |
| EMPLOYER POC EMAIL | geraldine.vaughan@umassmemorial.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Desai |
| AGENT ATTORNEY FIRST NAME | Prasant |
| AGENT ATTORNEY MIDDLE NAME | Dhirajlal |
| AGENT ATTORNEY ADDRESS1 | 38 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02129 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16174821010 |
| AGENT ATTORNEY EMAIL ADDRESS | desai@iandoli.com |
| LAWFIRM NAME BUSINESS NAME | Iandoli Desai & Cronin P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 55 Lake Avenue North |
| LCA CASE WORKLOC1 CITY | Worcester |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01655 |
| LCA CASE WAGE RATE FROM | 295800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59093 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 7 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
