| LCA CASE NUMBER | I-200-23269-381405 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-26 |
| DECISION DATE | 2023-10-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Automation Engineer |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-03 |
| END DATE | 2026-10-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | RxAdvance Corporation |
| TRADE NAME DBA | NirvanaHealth |
| EMPLOYER ADDRESS1 | 136 Turnpike Road |
| EMPLOYER CITY | Southborough |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01772 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088046900 |
| NAICS CODE | 52429 |
| EMPLOYER POC LAST NAME | Wickremeratne |
| EMPLOYER POC FIRST NAME | Aruna |
| EMPLOYER POC JOB TITLE | Chief Administrative & Chief Revenue Officer |
| EMPLOYER POC ADDRESS1 | 136 Turnpike Road |
| EMPLOYER POC CITY | Southborough |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01772 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15088046900 |
| EMPLOYER POC EMAIL | aruna.w@nirvanaHealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | O'Neil |
| AGENT ATTORNEY FIRST NAME | Megan |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 314 Town Center Drive |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12486800600 |
| AGENT ATTORNEY EMAIL ADDRESS | hvisa@piston.net |
| LAWFIRM NAME BUSINESS NAME | Piston & Carpenter P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 158 Inverness Dr. W |
| WORKSITE ADDRESS2 | Apt. D304 |
| LCA CASE WORKLOC1 CITY | Englewood |
| WORKSITE COUNTY | ARAPAHOE |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80112 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109678 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bedard |
| PREPARER FIRST NAME | Denise |
| PREPARER BUSINESS NAME | Piston & Carpenter P.C. |
| PREPARER EMAIL | denise@piston.net |
