| CASE NUMBER | I-200-24341-523398 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/6/2024 |
| DECISION DATE | 12/13/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/11/2024 |
| END DATE | 12/10/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Seacoast Affiliated Group Practice, Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 28 Green Street |
| EMPLOYER ADDRESS2 | N/A |
| EMPLOYER CITY | Newburyport Massachusetts |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1950 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13392402356 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Tuladhar |
| EMPLOYER POC FIRST NAME | Prabina |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 41 Mall Road |
| EMPLOYER POC ADDRESS2 | N/A |
| EMPLOYER POC CITY | Burlington |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1803 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13392402356 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | prabina.r.tuladhar@lahey.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Batista |
| AGENT ATTORNEY FIRST NAME | Mia |
| AGENT ATTORNEY MIDDLE NAME | N/A |
| AGENT ATTORNEY ADDRESS1 | 620 Eighth Avenue |
| AGENT ATTORNEY ADDRESS2 | Floor 32 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12122184659 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | prsharma@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 | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | North Shore Internal Medicine: 28 Green Street |
| WORKSITE ADDRESS2 | N/A |
| WORKSITE CITY | Newburyport |
| WORKSITE COUNTY | ESSEX |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1950 |
| WAGE RATE OF PAY FROM | $220,958.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $295,402.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $220,958.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sharma |
| PREPARER FIRST NAME | Preeti |
| PREPARER MIDDLE INITIAL | N/A |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP |
| PREPARER EMAIL | prsharma@seyfarth.com |
| BEGIN DATE CONVERTED | 2024-12-11 |
