| LCA CASE NUMBER | I-200-25098-843220 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-04-08 |
| DECISION DATE | 2025-04-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Accountant |
| SOC CODE | 13-2011 |
| SOC TITLE | Accountants and Auditors |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-10-01 |
| END DATE | 2028-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Revival Durable Medical Equipment Inc |
| EMPLOYER ADDRESS1 | 136-69 41st Ave |
| EMPLOYER ADDRESS2 | FL 1 |
| EMPLOYER CITY | Flushing |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11355 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17188881535 |
| EMPLOYER FEIN | 46-5222894 |
| NAICS CODE | 45619 |
| EMPLOYER POC LAST NAME | Park |
| EMPLOYER POC FIRST NAME | Eunice |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 136-69 41st Ave |
| EMPLOYER POC ADDRESS2 | FL 1 |
| EMPLOYER POC CITY | Flushing |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11355 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17188881535 |
| EMPLOYER POC EMAIL | brilho61@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pan |
| AGENT ATTORNEY FIRST NAME | Jiali |
| AGENT ATTORNEY ADDRESS1 | 13620 38th Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 11B |
| AGENT ATTORNEY CITY | Flushing |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11354 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17183958299 |
| AGENT ATTORNEY EMAIL ADDRESS | Attorneypan@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Jiali Pan & Assoc., PLLC. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 136-69 41st Ave |
| WORKSITE ADDRESS2 | FL 1 |
| LCA CASE WORKLOC1 CITY | Flushing |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11355 |
| LCA CASE WAGE RATE FROM | 76800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 71136 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pan |
| PREPARER FIRST NAME | Jiali |
| PREPARER BUSINESS NAME | Law Offices of Jiali Pan & Assoc., PLLC. |
| PREPARER EMAIL | Attorneypan@gmail.com |