| CASE NUMBER | I-200-24291-415204 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/17/2024 |
| DECISION DATE | 10/24/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Pathologist |
| SOC CODE | 29-1222.00 |
| SOC TITLE | Physicians, Pathologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Pathology Sciences Medical Group P.C. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 600 Gresham Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Norfolk |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23507 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17573883221 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621399 |
| EMPLOYER POC LAST NAME | Steck |
| EMPLOYER POC FIRST NAME | Audrey |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 600 Gresham Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Norfolk |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23507 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17573883221 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | aesteck@sentara.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sivaraman |
| AGENT ATTORNEY FIRST NAME | Heather |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 400 W. Weaver St |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19196192119 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | heather@sivisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | NC Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2300 Opitz Boulevard |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Woodbridge |
| WORKSITE COUNTY | PRINCE WILLIAM |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 22191 |
| WAGE RATE OF PAY FROM | $340,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $262,933.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-01 |
