| LCA CASE NUMBER | I-200-25155-050414 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-06-04 |
| DECISION DATE | 2025-06-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DATABASE ADMINISTRATOR |
| SOC CODE | 15-1242 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-07-01 |
| END DATE | 2028-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LAKEWOOD FAMILY DENTAL INC |
| EMPLOYER ADDRESS1 | 4512 PARNELL AVENUE |
| EMPLOYER CITY | FORT WAYNE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46825 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12605895505 |
| EMPLOYER FEIN | 46-5243914 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | KAKOLLU |
| EMPLOYER POC FIRST NAME | SRINIVASULU |
| EMPLOYER POC JOB TITLE | DIRECTOR |
| EMPLOYER POC ADDRESS1 | 4512 PARNELL AVENUE |
| EMPLOYER POC CITY | FORT WAYNE |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46825 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12605895505 |
| EMPLOYER POC EMAIL | skakollu@lakewood-familydental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LEGO |
| AGENT ATTORNEY FIRST NAME | KELLIE |
| AGENT ATTORNEY MIDDLE NAME | NICOLE |
| AGENT ATTORNEY ADDRESS1 | 1177 ANNAPOLIS ROAD |
| AGENT ATTORNEY ADDRESS2 | #70 |
| AGENT ATTORNEY CITY | ODENTON |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12403900600 |
| AGENT ATTORNEY EMAIL ADDRESS | KELLIE@MVPLG.COM |
| LAWFIRM NAME BUSINESS NAME | MVP LAW GROUP PA |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF MARYLAND |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | LAKEWOOD FAMILY DENTAL - CENTRAL OFFICE |
| WORKSITE ADDRESS1 | 8777 PURDUE ROAD |
| WORKSITE ADDRESS2 | SUITE 115 |
| LCA CASE WORKLOC1 CITY | INDIANAPOLIS |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46268-3104 |
| LCA CASE WAGE RATE FROM | 102419 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89357 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |