| LCA CASE NUMBER | I-200-21327-722865 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-11-23 |
| DECISION DATE | 2021-12-02 |
| ORIGINAL CERT DATE | 2021-12-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident (Moonlighter) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-12-06 |
| END DATE | 2023-06-30 |
| 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 | Mass General Brigham Incorporated |
| EMPLOYER ADDRESS1 | Office for Global Professionals and Scholars |
| EMPLOYER ADDRESS2 | 399 Revolution Drive |
| EMPLOYER CITY | Somerville |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02145 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18572822421 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Palatas |
| EMPLOYER POC FIRST NAME | Noel |
| EMPLOYER POC JOB TITLE | Manager, GPS |
| EMPLOYER POC ADDRESS1 | 399 REVOLUTION DRIVE |
| EMPLOYER POC ADDRESS2 | STE 270 |
| EMPLOYER POC CITY | SOMERVILLE |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18572822421 |
| EMPLOYER POC EMAIL | npalatas@partners.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1153 Centre St |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02130 |
| LCA CASE WAGE RATE FROM | 90 |
| LCA CASE WAGE RATE TO | 150 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 71.84 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hima |
| PREPARER FIRST NAME | Klea |
| PREPARER BUSINESS NAME | Mass General Brigham |
| PREPARER EMAIL | khima@partners.org |
