| LCA CASE NUMBER | I-200-16287-663706 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 10/31/2016 |
| DECISION DATE | 11/4/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/1/2016 |
| EMPLOYMENT END DATE | 11/17/2018 |
| LCA CASE EMPLOYER NAME | SUBBURAMAN SIVAKUMAR, MDPC |
| EMPLOYER ADDRESS | 33742 TWELVE MILE ROAD |
| EMPLOYER CITY | FARMINGTON HILLS |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48331 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2482074071 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | PHYSICIAN ASSISTANT |
| SOC CODE | 29-1071 |
| SOC NAME | PHYSICIAN ASSISTANTS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 32,365.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 106,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | SOUTHFIELD |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48075 |
