| LCA CASE NUMBER | I-200-22350-645759 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-12-16 |
| DECISION DATE | 2022-12-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Intensivist |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-01-02 |
| END DATE | 2023-07-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Baystate Medical Practices, Inc. |
| EMPLOYER ADDRESS1 | 759 Chestnut Street |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01199 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14137940293 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Samra |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | Vice President, HR Operations & Total Rewards |
| EMPLOYER POC ADDRESS1 | 759 Chestnut Street |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01199 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14137940293 |
| EMPLOYER POC EMAIL | patty.samra@baystatehealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Travers |
| AGENT ATTORNEY FIRST NAME | Maura |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 2 Seaport Lane - Seaport East |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02210 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16179464814 |
| AGENT ATTORNEY EMAIL ADDRESS | abassler@seyfarth.com |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 759 Chestnut Street |
| LCA CASE WORKLOC1 CITY | Springfield |
| WORKSITE COUNTY | HAMPDEN |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01199 |
| LCA CASE WAGE RATE FROM | 117.85 |
| LCA CASE WAGE RATE TO | 180 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 51.92 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bassler |
| PREPARER FIRST NAME | Alexa |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP |
| PREPARER EMAIL | abassler@seyfarth.com |
