Radiation Therapy Regimens in Treating Patients With Limited-Stage Small Cell Lung Cancer Receiving Cisplatin and Etoposide

Sponsor

Alliance for Clinical Trials in Oncology (Other)

Overall Status

Active, not recruiting

CT.gov ID

NCT00632853

Collaborator

National Cancer Institute (NCI) (NIH)

731

Enrollment

934

Locations

Arms

0.8

Patients Per Site

Study Details

Study Description

Brief Summary

Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as etoposide, carboplatin and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. It is not yet known which radiation therapy regimen is more effective when given together with chemotherapy in treating patients with limited-stage small cell lung cancer. This randomized phase III trial is comparing different chest radiation therapy regimens to see how well they work in treating patients with limited-stage small cell lung cancer.

Condition or Disease	Intervention/Treatment	Phase
Lung Cancer	Radiation: Standard Radiation Dose Therapy Drug: cisplatin Drug: etoposide Radiation: High Radiation Dose Therapy Drug: carboplatin	Phase 3

Detailed Description

OUTLINE: This is a 2-part, multicenter, randomized study. Patients are stratified according to gender, weight loss 6 months prior to study entry (≤ 5% of body weight vs > 5% of body weight), ECOG performance status (0 vs 1 vs 2), radiotherapy technique (intensity-modulated radiotherapy vs 3-dimensional conformal radiotherapy), radiotherapy start time (at first cycle of protocol chemotherapy, after one cycle of prior non-protocol chemotherapy vs at first cycle of protocol chemotherapy, without prior non-protocol chemotherapy vs at second cycle of protocol chemotherapy, without prior non-protocol chemotherapy) and chemotherapy backbone: carboplatin vs cisplatin.

OBJECTIVES:

Primary Objective

To determine whether administering high dose thoracic radiotherapy, 70 Gy (2 Gy once-daily over 7 weeks) or 61.2 Gy (1.8 Gy once-daily for 16 days followed by 1.8 Gy twice-daily for 9 days), will improve median and 2-year survival compared with 45 Gy (1.5 Gy twice-daily over 3 weeks) in patients with limited stage small cell lung cancer.

Secondary Objectives

To compare treatment related toxic effects of thoracic radiotherapy regimens in patients with limited stage small cell lung cancer
To compare response rates, failure-free survival and toxicity of thoracic radiotherapy regimens in patients with limited stage small cell lung cancer
To compare rates of local relapse, distant metastases and brain metastases with these regimens
To compare patients' quality of life between these treatment regimens in terms of their physical symptoms, physical functioning and psychological state
To describe the patterns of use of thoracic intensity modulated radiation therapy (IMRT) in patients with limited stage small cell lung cancer
To examine blood-based biomarkers of response and resistance to cisplatin (or carboplatin) and etoposide
To evaluate the correspondence between increases in plasma ProGRP concentrations and disease progression/recurrence
To evaluate the potential for plasma ProGRP concentrations at baseline, after each cycle of chemotherapy and at first evaluation following completion of chemotherapy to predict PFS and OS
To evaluate the correspondence between longitudinal decreases in plasma ProGRP concentrations and clinical response

Part 1: Patients are randomized to 1 of 3 treatment arms.

Arm I: Patients undergo standard-dose (45 Gy given in 30 treatments) thoracic radiotherapy twice daily, 5 days a week, for 3 weeks. Patients also receive cisplatin IV on day 1 or carboplatin IV and etoposide IV on days 1, 2, and 3.

Arm II: Patients undergo higher-dose (70 Gy given in 35 treatments) thoracic radiotherapy once daily, 5 days a week, for 7 weeks. Patients also receive cisplatin or carboplatin and etoposide as in arm I.

Arm III: (discontinued as of 03/10/13) Patients undergo mid-dose (61.2 Gy given in 34 treatments) thoracic radiotherapy once daily, 5 days a week, during the initial 16 days (approximately 3 weeks) of treatment and then twice daily, 5 days a week, for the final 9 days (approximately 2 weeks) of treatment. Patients also receive cisplatin and etoposide.

In all arms, treatment with cisplatin and etoposide repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.

Part 2: An interim analysis was conducted after accrual of 30 patients per arm and one experimental arm based upon a comparison of treatment-related toxicity was selected. The most toxic experimental arm was discontinued, and the trial continues comparing standard therapy (arm I) to the selected experimental regimen (arm II) as described in part 1. Please see the Arms section for more information regarding Part 2.

Prophylactic cranial irradiotherapy (PCI): Within 3-6 weeks after completion of chemotherapy, PCI should be offered to all patients with a complete tumor response (CR) or near complete response (nCR) with only residual chest abnormalities of indeterminate nature following completion of combined modality therapy.

After completion of study treatment, patients are followed up at least every 3 months for 2 years, every 6 months for 3 years, and then annually for 5 years or until disease progression. At disease progression, patients are followed up every 6 months.

Study Design

Study Type:

Interventional

Actual Enrollment :

731 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Phase III Comparison of Thoracic Radiotherapy Regimens in Patients With Limited Small Cell Lung Cancer Also Receiving Cisplatin and Etoposide

Actual Study Start Date :

Mar 1, 2008

Actual Primary Completion Date :

Mar 2, 2022

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Arm A - Standard Radiotherapy + Chemotherapy Radiotherapy (every day, Monday-Friday, for a total of 3 weeks) XRT: 45 Gy BID (1.5 Gy/fx) starting on day 1 of Cycle 1 or 2, every day, for 3 weeks Chemotherapy (every 21 days for 4 cycles, for a total of 12 weeks): Cisplatin 80 mg/m2 IV on day 1 OR Carboplatin AUC 5 IV day 1, every 21 days Etoposide 100 mg/m2 IV Register/ on days 1, 2, and 3, every 21 days	Radiation: Standard Radiation Dose Therapy 45 Gy Drug: cisplatin IV Drug: etoposide IV Drug: carboplatin IV
Experimental: Arm B - High Dose Radiotherapy + Chemotherapy Radiotherapy (every day, Monday-Friday, for a total of 7 weeks) XRT: 70 Gy QD (2.0 Gy/fx), starting on day 1 of Cycle 1 or 2, every day, for 7 weeks Chemotherapy (every 21 days for 4 cycles, for a total of 12 weeks): Cisplatin 80 mg/m2 IV on day 1 OR Carboplatin AUC 5 IV day 1, every 21 days Etoposide 100 mg/m2 IV on days 1, 2, and 3, every 21 days	Drug: cisplatin IV Drug: etoposide IV Radiation: High Radiation Dose Therapy 70 Gy Drug: carboplatin IV

Arm

Intervention/Treatment

Active Comparator: Arm A - Standard Radiotherapy + Chemotherapy

Radiotherapy (every day, Monday-Friday, for a total of 3 weeks) XRT: 45 Gy BID (1.5 Gy/fx) starting on day 1 of Cycle 1 or 2, every day, for 3 weeks Chemotherapy (every 21 days for 4 cycles, for a total of 12 weeks): Cisplatin 80 mg/m2 IV on day 1 OR Carboplatin AUC 5 IV day 1, every 21 days Etoposide 100 mg/m2 IV Register/ on days 1, 2, and 3, every 21 days

Radiation: Standard Radiation Dose Therapy

45 Gy

Drug: cisplatin

Drug: etoposide

Drug: carboplatin

Experimental: Arm B - High Dose Radiotherapy + Chemotherapy

Radiotherapy (every day, Monday-Friday, for a total of 7 weeks) XRT: 70 Gy QD (2.0 Gy/fx), starting on day 1 of Cycle 1 or 2, every day, for 7 weeks Chemotherapy (every 21 days for 4 cycles, for a total of 12 weeks): Cisplatin 80 mg/m2 IV on day 1 OR Carboplatin AUC 5 IV day 1, every 21 days Etoposide 100 mg/m2 IV on days 1, 2, and 3, every 21 days

Drug: cisplatin

Drug: etoposide

Radiation: High Radiation Dose Therapy

70 Gy

Drug: carboplatin

Outcome Measures

Primary Outcome Measures

Overall survival time between 3 treatment arms [Up to 5 years]

Secondary Outcome Measures

Complete and partial response rates [Up to 5 years]
Failure-free survival [Up to 5 years]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Documentation of Disease
Histologically or cytologically documented small cell lung cancer (SCLC)
Limited-stage disease patients with disease restricted to one hemithorax with regional lymph node metastases, including ipsilateral hilar, ipsilateral and contralateral mediastinal, and ipsilateral supraclavicular lymph nodes

Patients with disease involvement of the contralateral hilar or supraclavicular lymph nodes are not eligible
Patients with pleural effusions that are visible on plain chest radiographs, whether cytologically positive or not are not eligible unless they have a negative thoracentesis
Patients with cytologically positive pleural or pericardial fluid, regardless of the appearance on plain x-ray are not eligible

Measurable disease - Patients must have measurable disease, which includes lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as ≥ 2 cm with conventional techniques OR ≥ 1 cm by spiral CT scan
Prior Treatment
Patients may have received one and only one cycle of chemotherapy prior to enrolling on CALGB 30610, which must have included carboplatin or cisplatin and etoposide.
If a patient has had one cycle of cisplatin or carboplatin/etoposide prior to registration, the patient must have had all of it prior to registration tests as outlined in the protocol and prior to starting their first cycle of chemotherapy.
Additionally, these patients also must have met all of the eligibility criteria in the protocol prior to receiving the first cycle of chemotherapy.
Registration to CALGB 30610 must take place within 14-21 days after the start of the non-protocol therapy.
Failing to do all of the above will make the patient NOT eligible for CALGB
No prior radiotherapy or chemotherapy (except for the chemotherapy described in the bullet above) for SCLC
No prior mediastinal or thoracic radiotherapy
Patients with complete surgical resection of disease are not eligible
Age Requirement ≥ 18 years of age
ECOG Performance Status 0-2
Non-pregnant and non-nursing - No patients that are known to be pregnant or nursing
Required Initial Laboratory Values
Granulocytes ≥ 1,500/µl
Platelet count ≥ 100,000/µl
Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
AST (SGOT) ≤ 2.0 times ULN
Serum creatinine ≤ 1.5 times ULN OR Calculated creatinine clearance ≥ 70 mL/min

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of Alabama at Birmingham Cancer Center	Birmingham	Alabama	United States	35233
2	The Kirklin Clinic at Acton Road	Birmingham	Alabama	United States	35243
3	Providence Hospital	Mobile	Alabama	United States	36608
4	Anchorage Associates in Radiation Medicine	Anchorage	Alaska	United States	98508
5	Anchorage Radiation Therapy Center	Anchorage	Alaska	United States	99504
6	Alaska Breast Care and Surgery LLC	Anchorage	Alaska	United States	99508
7	Alaska Oncology and Hematology LLC	Anchorage	Alaska	United States	99508
8	Alaska Regional Hospital	Anchorage	Alaska	United States	99508
9	Alaska Women's Cancer Care	Anchorage	Alaska	United States	99508
10	Anchorage Oncology Centre	Anchorage	Alaska	United States	99508
11	Katmai Oncology Group	Anchorage	Alaska	United States	99508
12	Providence Alaska Medical Center	Anchorage	Alaska	United States	99508
13	Fairbanks Memorial Hospital	Fairbanks	Alaska	United States	99701
14	21st Century Oncology-Scottsdale	Scottsdale	Arizona	United States	85251
15	Mayo Clinic in Arizona	Scottsdale	Arizona	United States	85259
16	University of Arizona Cancer Center-Orange Grove Campus	Tucson	Arizona	United States	85704
17	Banner University Medical Center - Tucson	Tucson	Arizona	United States	85719
18	University of Arizona Cancer Center-North Campus	Tucson	Arizona	United States	85719
19	CHI Saint Vincent Cancer Center Hot Springs	Hot Springs	Arkansas	United States	71913
20	Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro	Jonesboro	Arkansas	United States	72401
21	University of Arkansas for Medical Sciences	Little Rock	Arkansas	United States	72205
22	Highlands Oncology Group-Rogers	Rogers	Arkansas	United States	72758
23	Kaiser Permanente-Deer Valley Medical Center	Antioch	California	United States	94531
24	PCR Oncology	Arroyo Grande	California	United States	93420
25	Sutter Cancer Centers Radiation Oncology Services-Auburn	Auburn	California	United States	95603
26	AIS Cancer Center at San Joaquin Community Hospital	Bakersfield	California	United States	93301
27	Alta Bates Summit Medical Center-Herrick Campus	Berkeley	California	United States	94704
28	Providence Saint Joseph Medical Center/Disney Family Cancer Center	Burbank	California	United States	91505
29	Mills-Peninsula Medical Center	Burlingame	California	United States	94010
30	Sutter Cancer Centers Radiation Oncology Services-Cameron Park	Cameron Park	California	United States	95682
31	East Bay Radiation Oncology Center	Castro Valley	California	United States	94546
32	Eden Hospital Medical Center	Castro Valley	California	United States	94546
33	Community Cancer Institute	Clovis	California	United States	93611
34	University Oncology Associates	Clovis	California	United States	93611
35	Kaiser Permanente Dublin	Dublin	California	United States	94568
36	21st Century Oncology - El Segundo	El Segundo	California	United States	90245
37	Bay Area Breast Surgeons Inc	Emeryville	California	United States	94608
38	Epic Care Partners in Cancer Care	Emeryville	California	United States	94608
39	Kaiser Permanente-Fremont	Fremont	California	United States	94538
40	Fresno Cancer Center	Fresno	California	United States	93720
41	Kaiser Permanente-Fresno	Fresno	California	United States	93720
42	Marin Cancer Care Inc	Greenbrae	California	United States	94904
43	Marin General Hospital	Greenbrae	California	United States	94904
44	USC / Norris Comprehensive Cancer Center	Los Angeles	California	United States	90033
45	Contra Costa Regional Medical Center	Martinez	California	United States	94553-3156
46	Fremont - Rideout Cancer Center	Marysville	California	United States	95901
47	Mercy UC Davis Cancer Center	Merced	California	United States	95340
48	Memorial Medical Center	Modesto	California	United States	95355
49	Kaiser Permanente-Modesto	Modesto	California	United States	95356
50	El Camino Hospital	Mountain View	California	United States	94040
51	Palo Alto Medical Foundation-Camino Division	Mountain View	California	United States	94040
52	Sutter Cancer Research Consortium	Novato	California	United States	94945
53	Highland General Hospital	Oakland	California	United States	94602
54	Alta Bates Summit Medical Center - Summit Campus	Oakland	California	United States	94609
55	Bay Area Tumor Institute	Oakland	California	United States	94609
56	Hematology and Oncology Associates-Oakland	Oakland	California	United States	94609
57	Tom K Lee Inc	Oakland	California	United States	94609
58	Kaiser Permanente Oakland-Broadway	Oakland	California	United States	94611
59	Kaiser Permanente-Oakland	Oakland	California	United States	94611
60	Palo Alto Medical Foundation Health Care	Palo Alto	California	United States	94301
61	Stanford Cancer Institute Palo Alto	Palo Alto	California	United States	94304
62	Valley Medical Oncology Consultants	Pleasanton	California	United States	94588
63	Pomona Valley Hospital Medical Center	Pomona	California	United States	91767
64	Kaiser Permanente-Redwood City	Redwood City	California	United States	94063
65	Kaiser Permanente-Richmond	Richmond	California	United States	94801
66	Rohnert Park Cancer Center	Rohnert Park	California	United States	94928
67	Kaiser Permanente-Roseville	Roseville	California	United States	95661
68	Sutter Cancer Centers Radiation Oncology Services-Roseville	Roseville	California	United States	95661
69	Sutter Roseville Medical Center	Roseville	California	United States	95661
70	Kaiser Permanente Downtown Commons	Sacramento	California	United States	95814
71	Sutter Medical Center Sacramento	Sacramento	California	United States	95816
72	University of California Davis Comprehensive Cancer Center	Sacramento	California	United States	95817
73	Kaiser Permanente-South Sacramento	Sacramento	California	United States	95823
74	Kaiser Permanente - Sacramento	Sacramento	California	United States	95825
75	Saint Helena Hospital	Saint Helena	California	United States	94574
76	California Pacific Medical Center-Pacific Campus	San Francisco	California	United States	94115
77	Kaiser Permanente-San Francisco	San Francisco	California	United States	94115
78	Kaiser Permanente-Santa Teresa-San Jose	San Jose	California	United States	95119
79	Kaiser Permanente San Leandro	San Leandro	California	United States	94577
80	Doctors Medical Center- JC Robinson Regional Cancer Center	San Pablo	California	United States	94806
81	Kaiser Permanente-San Rafael	San Rafael	California	United States	94903
82	Kaiser San Rafael-Gallinas	San Rafael	California	United States	94903
83	Kaiser Permanente Medical Center - Santa Clara	Santa Clara	California	United States	95051
84	Palo Alto Medical Foundation-Santa Cruz	Santa Cruz	California	United States	95065
85	Kaiser Permanente-Santa Rosa	Santa Rosa	California	United States	95403
86	Kaiser Permanente-South San Francisco	South San Francisco	California	United States	94080
87	Kaiser Permanente-Stockton	Stockton	California	United States	95210
88	Palo Alto Medical Foundation-Sunnyvale	Sunnyvale	California	United States	94086
89	Gene Upshaw Memorial Tahoe Forest Cancer Center	Truckee	California	United States	96161
90	Sutter Cancer Centers Radiation Oncology Services-Vacaville	Vacaville	California	United States	95687
91	Kaiser Permanente Medical Center-Vacaville	Vacaville	California	United States	95688
92	Kaiser Permanente-Vallejo	Vallejo	California	United States	94589
93	Sutter Solano Medical Center/Cancer Center	Vallejo	California	United States	94589
94	Kaiser Permanente-Walnut Creek	Walnut Creek	California	United States	94596
95	Epic Care Cyberknife Center	Walnut Creek	California	United States	94597
96	Rocky Mountain Cancer Centers-Aurora	Aurora	Colorado	United States	80012
97	The Medical Center of Aurora	Aurora	Colorado	United States	80012
98	University of Colorado Hospital	Aurora	Colorado	United States	80045
99	Boulder Community Hospital	Boulder	Colorado	United States	80301
100	Rocky Mountain Cancer Centers-Boulder	Boulder	Colorado	United States	80304
101	Penrose-Saint Francis Healthcare	Colorado Springs	Colorado	United States	80907
102	Rocky Mountain Cancer Centers-Penrose	Colorado Springs	Colorado	United States	80907
103	National Jewish Health-Main Campus	Denver	Colorado	United States	80206
104	Porter Adventist Hospital	Denver	Colorado	United States	80210
105	University of Colorado	Denver	Colorado	United States	80217-3364
106	Colorado Blood Cancer Institute	Denver	Colorado	United States	80218
107	Presbyterian - Saint Lukes Medical Center - Health One	Denver	Colorado	United States	80218
108	Rocky Mountain Cancer Centers-Midtown	Denver	Colorado	United States	80218
109	SCL Health Saint Joseph Hospital	Denver	Colorado	United States	80218
110	Rocky Mountain Cancer Centers-Rose	Denver	Colorado	United States	80220
111	Rose Medical Center	Denver	Colorado	United States	80220
112	Mercy Medical Center	Durango	Colorado	United States	81301
113	Southwest Oncology PC	Durango	Colorado	United States	81301
114	Mountain Blue Cancer Care Center - Swedish	Englewood	Colorado	United States	80113
115	Swedish Medical Center	Englewood	Colorado	United States	80113
116	Mountain Blue Cancer Care Center	Golden	Colorado	United States	80401
117	Saint Mary's Hospital and Regional Medical Center	Grand Junction	Colorado	United States	81501
118	North Colorado Medical Center	Greeley	Colorado	United States	80631
119	Rocky Mountain Cancer Centers-Greenwood Village	Greenwood Village	Colorado	United States	80111
120	Rocky Mountain Cancer Centers-Lakewood	Lakewood	Colorado	United States	80228
121	Saint Anthony Hospital	Lakewood	Colorado	United States	80228
122	Rocky Mountain Cancer Centers-Littleton	Littleton	Colorado	United States	80120
123	Littleton Adventist Hospital	Littleton	Colorado	United States	80122
124	Rocky Mountain Cancer Centers-Sky Ridge	Lone Tree	Colorado	United States	80124
125	Sky Ridge Medical Center	Lone Tree	Colorado	United States	80124
126	Longmont United Hospital	Longmont	Colorado	United States	80501
127	Rocky Mountain Cancer Centers-Longmont	Longmont	Colorado	United States	80501
128	McKee Medical Center	Loveland	Colorado	United States	80539
129	Parker Adventist Hospital	Parker	Colorado	United States	80138
130	Rocky Mountain Cancer Centers-Parker	Parker	Colorado	United States	80138
131	Saint Mary Corwin Medical Center	Pueblo	Colorado	United States	81004
132	Rocky Mountain Cancer Centers - Pueblo	Pueblo	Colorado	United States	81008
133	North Suburban Medical Center	Thornton	Colorado	United States	80229
134	Rocky Mountain Cancer Centers-Thornton	Thornton	Colorado	United States	80260
135	SCL Health Lutheran Medical Center	Wheat Ridge	Colorado	United States	80033
136	Smilow Cancer Hospital Care Center at Saint Francis	Hartford	Connecticut	United States	06105
137	Beebe Medical Center	Lewes	Delaware	United States	19958
138	Christiana Gynecologic Oncology LLC	Newark	Delaware	United States	19713
139	Delaware Clinical and Laboratory Physicians PA	Newark	Delaware	United States	19713
140	Helen F Graham Cancer Center	Newark	Delaware	United States	19713
141	Medical Oncology Hematology Consultants PA	Newark	Delaware	United States	19713
142	Christiana Care Health System-Christiana Hospital	Newark	Delaware	United States	19718
143	Beebe Health Campus	Rehoboth Beach	Delaware	United States	19971
144	Nanticoke Memorial Hospital	Seaford	Delaware	United States	19973
145	Christiana Care Health System-Wilmington Hospital	Wilmington	Delaware	United States	19801
146	AdventHealth Altamonte	Altamonte Springs	Florida	United States	32701
147	Mount Sinai Comprehensive Cancer Center at Aventura	Aventura	Florida	United States	33180
148	21st Century Oncology - Bradenton	Bradenton	Florida	United States	34210
149	Holy Cross Hospital	Fort Lauderdale	Florida	United States	33308
150	21st Century Oncology - Fort Walton Beach	Fort Walton Beach	Florida	United States	32547
151	Integrated Community Oncology Network-Florida Cancer Center Beaches	Jacksonville Beach	Florida	United States	32250
152	Baptist MD Anderson Cancer Center	Jacksonville	Florida	United States	32207
153	Integrated Community Oncology Network-Southside Cancer Center	Jacksonville	Florida	United States	32207
154	Mayo Clinic in Florida	Jacksonville	Florida	United States	32224-9980
155	Baptist Medical Center South	Jacksonville	Florida	United States	32258
156	Jupiter Medical Center	Jupiter	Florida	United States	33458
157	AdventHealth Kissimmee	Kissimmee	Florida	United States	34744
158	21st Century Oncology - Lakewood Ranch Oncology	Lakewood Ranch	Florida	United States	34202
159	Mount Sinai Medical Center	Miami Beach	Florida	United States	33140
160	21st Century Oncology-Orange Park	Orange Park	Florida	United States	32073
161	AdventHealth Medical Group Urology at Orlando	Orlando	Florida	United States	32803
162	AdventHealth Orlando	Orlando	Florida	United States	32803
163	UF Cancer Center at Orlando Health	Orlando	Florida	United States	32806
164	AdventHealth East Orlando	Orlando	Florida	United States	32822
165	21st Century Oncology-Palatka	Palatka	Florida	United States	32177
166	Integrated Community Oncology Network-Flager Cancer Center	Saint Augustine	Florida	United States	32086
167	Moffitt Cancer Center	Tampa	Florida	United States	33612
168	AdventHealth Winter Park	Winter Park	Florida	United States	32792
169	Emory University Hospital Midtown	Atlanta	Georgia	United States	30308
170	Emory University Hospital/Winship Cancer Institute	Atlanta	Georgia	United States	30322
171	Emory Saint Joseph's Hospital	Atlanta	Georgia	United States	30342
172	Tanner Medical Center/Carrollton	Carrollton	Georgia	United States	30117
173	John B Amos Cancer Center	Columbus	Georgia	United States	31904
174	Northeast Georgia Medical Center-Gainesville	Gainesville	Georgia	United States	30501
175	Memorial Health University Medical Center	Savannah	Georgia	United States	31404
176	Summit Cancer Care-Memorial	Savannah	Georgia	United States	31404
177	Lewis Cancer and Research Pavilion at Saint Joseph's/Candler	Savannah	Georgia	United States	31405
178	Low Country Cancer Care Associates PC	Savannah	Georgia	United States	31405
179	Kaiser Permanente Moanalua Medical Center	Honolulu	Hawaii	United States	96819
180	Saint Alphonsus Cancer Care Center-Boise	Boise	Idaho	United States	83706
181	Saint Luke's Mountain States Tumor Institute	Boise	Idaho	United States	83712
182	Saint Alphonsus Cancer Care Center-Caldwell	Caldwell	Idaho	United States	83605
183	Kootenai Medical Center	Coeur d'Alene	Idaho	United States	83814
184	Walter Knox Memorial Hospital	Emmett	Idaho	United States	83617
185	Saint Luke's Mountain States Tumor Institute - Fruitland	Fruitland	Idaho	United States	83619
186	Idaho Urologic Institute-Meridian	Meridian	Idaho	United States	83642
187	Saint Luke's Mountain States Tumor Institute - Meridian	Meridian	Idaho	United States	83642
188	Saint Alphonsus Medical Center-Nampa	Nampa	Idaho	United States	83686
189	Saint Luke's Mountain States Tumor Institute - Nampa	Nampa	Idaho	United States	83686
190	Kootenai Cancer Center	Post Falls	Idaho	United States	83854
191	Kootenai Cancer Clinic	Sandpoint	Idaho	United States	83864
192	Saint Luke's Mountain States Tumor Institute-Twin Falls	Twin Falls	Idaho	United States	83301
193	Rush - Copley Medical Center	Aurora	Illinois	United States	60504
194	Saint Joseph Medical Center	Bloomington	Illinois	United States	61701
195	Illinois CancerCare-Bloomington	Bloomington	Illinois	United States	61704
196	Graham Hospital Association	Canton	Illinois	United States	61520
197	Illinois CancerCare-Canton	Canton	Illinois	United States	61520
198	Memorial Hospital of Carbondale	Carbondale	Illinois	United States	62902
199	SIH Cancer Institute	Carterville	Illinois	United States	62918
200	Illinois CancerCare-Carthage	Carthage	Illinois	United States	62321
201	Memorial Hospital	Carthage	Illinois	United States	62321
202	Centralia Oncology Clinic	Centralia	Illinois	United States	62801
203	John H Stroger Jr Hospital of Cook County	Chicago	Illinois	United States	60612
204	Rush University Medical Center	Chicago	Illinois	United States	60612
205	Swedish Covenant Hospital	Chicago	Illinois	United States	60625
206	Presence Resurrection Medical Center	Chicago	Illinois	United States	60631
207	University of Chicago Comprehensive Cancer Center	Chicago	Illinois	United States	60637
208	Advocate Illinois Masonic Medical Center	Chicago	Illinois	United States	60657
209	Carle on Vermilion	Danville	Illinois	United States	61832
210	Cancer Care Specialists of Illinois - Decatur	Decatur	Illinois	United States	62526
211	Decatur Memorial Hospital	Decatur	Illinois	United States	62526
212	Heartland Cancer Research NCORP	Decatur	Illinois	United States	62526
213	Carle Physician Group-Effingham	Effingham	Illinois	United States	62401
214	Crossroads Cancer Center	Effingham	Illinois	United States	62401
215	Eureka Hospital	Eureka	Illinois	United States	61530
216	Illinois CancerCare-Eureka	Eureka	Illinois	United States	61530
217	NorthShore University HealthSystem-Evanston Hospital	Evanston	Illinois	United States	60201
218	Saint Francis Hospital	Evanston	Illinois	United States	60202
219	Illinois CancerCare-Galesburg	Galesburg	Illinois	United States	61401
220	Western Illinois Cancer Treatment Center	Galesburg	Illinois	United States	61401
221	NorthShore University HealthSystem-Glenbrook Hospital	Glenview	Illinois	United States	60026
222	Mason District Hospital	Havana	Illinois	United States	62644
223	NorthShore University HealthSystem-Highland Park Hospital	Highland Park	Illinois	United States	60035
224	Presence Saint Mary's Hospital	Kankakee	Illinois	United States	60901
225	Illinois CancerCare-Kewanee Clinic	Kewanee	Illinois	United States	61443
226	AMITA Health Adventist Medical Center	La Grange	Illinois	United States	60525
227	Illinois CancerCare-Macomb	Macomb	Illinois	United States	61455
228	Mcdonough District Hospital	Macomb	Illinois	United States	61455
229	Carle Physician Group-Mattoon/Charleston	Mattoon	Illinois	United States	61938
230	Garneau, Stewart C MD (UIA Investigator)	Moline	Illinois	United States	61265
231	Porubcin, Michael MD (UIA Investigator)	Moline	Illinois	United States	61265
232	Spector, David MD (UIA Investigator)	Moline	Illinois	United States	61265
233	Trinity Medical Center	Moline	Illinois	United States	61265
234	Illinois CancerCare-Monmouth	Monmouth	Illinois	United States	61462
235	Bromenn Regional Medical Center	Normal	Illinois	United States	61761
236	Community Cancer Center Foundation	Normal	Illinois	United States	61761
237	Illinois CancerCare-Community Cancer Center	Normal	Illinois	United States	61761
238	Advocate Christ Medical Center	Oak Lawn	Illinois	United States	60453-2699
239	Illinois CancerCare-Ottawa Clinic	Ottawa	Illinois	United States	61350
240	Ottawa Regional Hospital and Healthcare Center	Ottawa	Illinois	United States	61350
241	Radiation Oncology of Northern Illinois	Ottawa	Illinois	United States	61350
242	Illinois CancerCare-Pekin	Pekin	Illinois	United States	61554
243	OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center	Pekin	Illinois	United States	61554
244	Proctor Hospital	Peoria	Illinois	United States	61614
245	Illinois CancerCare-Peoria	Peoria	Illinois	United States	61615
246	OSF Saint Francis Radiation Oncology at Peoria Cancer Center	Peoria	Illinois	United States	61615
247	Methodist Medical Center of Illinois	Peoria	Illinois	United States	61636
248	OSF Saint Francis Medical Center	Peoria	Illinois	United States	61637
249	Illinois CancerCare-Peru	Peru	Illinois	United States	61354
250	Illinois Valley Hospital	Peru	Illinois	United States	61354
251	Valley Radiation Oncology	Peru	Illinois	United States	61354
252	Illinois CancerCare-Princeton	Princeton	Illinois	United States	61356
253	Perry Memorial Hospital	Princeton	Illinois	United States	61356
254	Swedish American Hospital	Rockford	Illinois	United States	61104
255	OSF Saint Anthony Medical Center	Rockford	Illinois	United States	61108
256	SwedishAmerican Regional Cancer Center/ACT	Rockford	Illinois	United States	61114
257	North Shore Medical Center	Skokie	Illinois	United States	60076
258	Illinois CancerCare-Spring Valley	Spring Valley	Illinois	United States	61362
259	Central Illinois Hematology Oncology Center	Springfield	Illinois	United States	62702
260	Southern Illinois University School of Medicine	Springfield	Illinois	United States	62702
261	Springfield Clinic	Springfield	Illinois	United States	62702
262	Memorial Medical Center	Springfield	Illinois	United States	62781
263	Cancer Care Specialists of Illinois-Swansea	Swansea	Illinois	United States	62226
264	Southwest Illinois Health Services LLP	Swansea	Illinois	United States	62226
265	Carle Cancer Center	Urbana	Illinois	United States	61801
266	The Carle Foundation Hospital	Urbana	Illinois	United States	61801
267	Rush-Copley Healthcare Center	Yorkville	Illinois	United States	60560
268	Elkhart Clinic	Elkhart	Indiana	United States	46514-2098
269	Michiana Hematology Oncology PC-Elkhart	Elkhart	Indiana	United States	46514
270	Elkhart General Hospital	Elkhart	Indiana	United States	46515
271	Deaconess Clinic Downtown	Evansville	Indiana	United States	47713
272	Radiation Oncology Associates PC	Fort Wayne	Indiana	United States	46804
273	Parkview Hospital Randallia	Fort Wayne	Indiana	United States	46805
274	Parkview Regional Medical Center	Fort Wayne	Indiana	United States	46845
275	Indiana University/Melvin and Bren Simon Cancer Center	Indianapolis	Indiana	United States	46202
276	IU Health Central Indiana Cancer Centers-East	Indianapolis	Indiana	United States	46219
277	Saint Vincent Hospital and Health Care Center	Indianapolis	Indiana	United States	46260
278	Community Howard Regional Health	Kokomo	Indiana	United States	46904
279	IU Health La Porte Hospital	La Porte	Indiana	United States	46350
280	Memorial Regional Cancer Center Day Road	Mishawaka	Indiana	United States	46545
281	Michiana Hematology Oncology PC-Mishawaka	Mishawaka	Indiana	United States	46545
282	Saint Joseph Regional Medical Center-Mishawaka	Mishawaka	Indiana	United States	46545
283	IU Health Ball Memorial Hospital	Muncie	Indiana	United States	47303
284	Chancellor Center for Oncology	Newburgh	Indiana	United States	47630
285	Michiana Hematology Oncology PC-Plymouth	Plymouth	Indiana	United States	46563
286	Memorial Hospital of South Bend	South Bend	Indiana	United States	46601
287	Michiana Hematology Oncology PC-South Bend	South Bend	Indiana	United States	46601
288	South Bend Clinic	South Bend	Indiana	United States	46617
289	Michiana Hematology Oncology PC-Westville	Westville	Indiana	United States	46391
290	Constantinou, Costas L MD (UIA Investigator)	Bettendorf	Iowa	United States	52722
291	Medical Oncology and Hematology Associates-West Des Moines	Clive	Iowa	United States	50325
292	Mercy Cancer Center-West Lakes	Clive	Iowa	United States	50325
293	Greater Regional Medical Center	Creston	Iowa	United States	50801
294	Mercy Capitol	Des Moines	Iowa	United States	50307
295	Iowa Methodist Medical Center	Des Moines	Iowa	United States	50309
296	Medical Oncology and Hematology Associates-Des Moines	Des Moines	Iowa	United States	50309
297	Medical Oncology and Hematology Associates-Laurel	Des Moines	Iowa	United States	50314
298	Mercy Medical Center - Des Moines	Des Moines	Iowa	United States	50314
299	Iowa Lutheran Hospital	Des Moines	Iowa	United States	50316
300	Siouxland Regional Cancer Center	Sioux City	Iowa	United States	51101
301	Mercy Medical Center-West Lakes	West Des Moines	Iowa	United States	50266
302	Cancer Center of Kansas - Chanute	Chanute	Kansas	United States	66720
303	Cancer Center of Kansas - Dodge City	Dodge City	Kansas	United States	67801
304	Cancer Center of Kansas - El Dorado	El Dorado	Kansas	United States	67042
305	Cancer Center of Kansas - Fort Scott	Fort Scott	Kansas	United States	66701
306	Cancer Center of Kansas-Independence	Independence	Kansas	United States	67301
307	Cancer Center of Kansas-Kingman	Kingman	Kansas	United States	67068
308	Lawrence Memorial Hospital	Lawrence	Kansas	United States	66044
309	Kansas Institute of Medicine Cancer and Blood Center	Lenexa	Kansas	United States	66219
310	Minimally Invasive Surgery Hospital	Lenexa	Kansas	United States	66219
311	Cancer Center of Kansas-Liberal	Liberal	Kansas	United States	67905
312	Cancer Center of Kansas-Manhattan	Manhattan	Kansas	United States	66502
313	Cancer Center of Kansas - McPherson	McPherson	Kansas	United States	67460
314	Cancer Center of Kansas - Newton	Newton	Kansas	United States	67114
315	Menorah Medical Center	Overland Park	Kansas	United States	66209
316	Saint Luke's South Hospital	Overland Park	Kansas	United States	66213
317	Cancer Center of Kansas - Parsons	Parsons	Kansas	United States	67357
318	Cancer Center of Kansas - Pratt	Pratt	Kansas	United States	67124
319	Cancer Center of Kansas - Salina	Salina	Kansas	United States	67401
320	Cotton O'Neil Cancer Center / Stormont Vail Health	Topeka	Kansas	United States	66606
321	Cancer Center of Kansas - Wellington	Wellington	Kansas	United States	67152
322	Associates In Womens Health	Wichita	Kansas	United States	67208
323	Cancer Center of Kansas-Wichita Medical Arts Tower	Wichita	Kansas	United States	67208
324	Ascension Via Christi Hospitals Wichita	Wichita	Kansas	United States	67214
325	Cancer Center of Kansas - Wichita	Wichita	Kansas	United States	67214
326	Wesley Medical Center	Wichita	Kansas	United States	67214
327	Wichita NCI Community Oncology Research Program	Wichita	Kansas	United States	67214
328	Cancer Center of Kansas - Winfield	Winfield	Kansas	United States	67156
329	Saint Joseph Radiation Oncology Resource Center	Lexington	Kentucky	United States	40504
330	Saint Joseph Hospital East	Lexington	Kentucky	United States	40509
331	University of Kentucky/Markey Cancer Center	Lexington	Kentucky	United States	40536
332	Jewish Hospital	Louisville	Kentucky	United States	40202
333	The James Graham Brown Cancer Center at University of Louisville	Louisville	Kentucky	United States	40202
334	Jewish Hospital Medical Center Northeast	Louisville	Kentucky	United States	40245
335	Owensboro Health Mitchell Memorial Cancer Center	Owensboro	Kentucky	United States	42303
336	LSU Health Baton Rouge-North Clinic	Baton Rouge	Louisiana	United States	70805
337	Baton Rouge General Medical Center	Baton Rouge	Louisiana	United States	70806
338	Louisiana Hematology Oncology Associates LLC	Baton Rouge	Louisiana	United States	70809
339	Mary Bird Perkins Cancer Center	Baton Rouge	Louisiana	United States	70809
340	Ochsner Health Center-Summa	Baton Rouge	Louisiana	United States	70809
341	Our Lady of the Lake Physicians Group - Medical Oncology	Baton Rouge	Louisiana	United States	70809
342	Northshore Oncology Associates-Covington	Covington	Louisiana	United States	70433
343	Mary Bird Perkins Cancer Center - Houma	Houma	Louisiana	United States	70360
344	Oncology Center of The South Incorporated	Houma	Louisiana	United States	70360
345	Robert Veith MD LLC	Metairie	Louisiana	United States	70006
346	Louisiana State University Health Science Center	New Orleans	Louisiana	United States	70112
347	Tulane University Health Sciences Center	New Orleans	Louisiana	United States	70112
348	University Medical Center New Orleans	New Orleans	Louisiana	United States	70112
349	Ochsner Medical Center Jefferson	New Orleans	Louisiana	United States	70121
350	Central Maine Medical Center	Lewiston	Maine	United States	04240
351	University of Maryland/Greenebaum Cancer Center	Baltimore	Maryland	United States	21201
352	Veterans Administration Medical Center-Baltimore	Baltimore	Maryland	United States	21201
353	Greater Baltimore Medical Center	Baltimore	Maryland	United States	21204
354	Sinai Hospital of Baltimore	Baltimore	Maryland	United States	21215
355	Saint Agnes Hospital	Baltimore	Maryland	United States	21229
356	Walter Reed National Military Medical Center	Bethesda	Maryland	United States	20889-5600
357	University of Maryland Shore Medical Center at Easton	Easton	Maryland	United States	21601
358	Union Hospital of Cecil County	Elkton	Maryland	United States	21921
359	Richard A Henson Cancer Institute at Ocean Pines	Ocean Pines	Maryland	United States	21811
360	Northwest Hospital Center	Randallstown	Maryland	United States	21133
361	Unspecified Site	Rockville	Maryland	United States	20852
362	Peninsula Regional Medical Center	Salisbury	Maryland	United States	21801
363	William E Kahlert Regional Cancer Center/Sinai Hospital	Westminster	Maryland	United States	21157
364	Tufts Medical Center	Boston	Massachusetts	United States	02111
365	Massachusetts General Hospital Cancer Center	Boston	Massachusetts	United States	02114
366	Brigham and Women's Hospital	Boston	Massachusetts	United States	02115
367	Boston Medical Center	Boston	Massachusetts	United States	02118
368	Dana-Farber Cancer Institute	Boston	Massachusetts	United States	02215
369	Steward Saint Elizabeth's Medical Center	Brighton	Massachusetts	United States	02135
370	Simonds-Sinon Regional Cancer Center	Fitchburg	Massachusetts	United States	01420
371	Dana-Farber/Brigham and Women's Cancer Center at Milford Regional	Milford	Massachusetts	United States	01757
372	Dana-Farber/Brigham and Women's Cancer Center at South Shore	South Weymouth	Massachusetts	United States	02190
373	UMass Memorial Medical Center - University Campus	Worcester	Massachusetts	United States	01655
374	Saint Joseph Mercy Hospital	Ann Arbor	Michigan	United States	48106
375	University of Michigan Comprehensive Cancer Center	Ann Arbor	Michigan	United States	48109
376	Bronson Battle Creek	Battle Creek	Michigan	United States	49017
377	IHA Hematology Oncology Consultants-Brighton	Brighton	Michigan	United States	48114
378	Saint Joseph Mercy Brighton	Brighton	Michigan	United States	48114
379	IHA Hematology Oncology Consultants-Canton	Canton	Michigan	United States	48188
380	Saint Joseph Mercy Canton	Canton	Michigan	United States	48188
381	Caro Cancer Center	Caro	Michigan	United States	48723
382	IHA Hematology Oncology Consultants-Chelsea	Chelsea	Michigan	United States	48118
383	Saint Joseph Mercy Chelsea	Chelsea	Michigan	United States	48118
384	21st Century Oncology MHP - Clarkston	Clarkston	Michigan	United States	48346
385	Hematology Oncology Consultants-Clarkston	Clarkston	Michigan	United States	48346
386	Newland Medical Associates-Clarkston	Clarkston	Michigan	United States	48346
387	Beaumont Hospital - Dearborn	Dearborn	Michigan	United States	48124
388	Wayne State University/Karmanos Cancer Institute	Detroit	Michigan	United States	48201
389	Ascension Saint John Hospital	Detroit	Michigan	United States	48236
390	Great Lakes Cancer Management Specialists-Doctors Park	East China Township	Michigan	United States	48054
391	Green Bay Oncology - Escanaba	Escanaba	Michigan	United States	49829
392	21st Century Oncology MHP - Farmington	Farmington Hills	Michigan	United States	48334
393	Weisberg Cancer Treatment Center	Farmington Hills	Michigan	United States	48334
394	Beaumont Hospital - Farmington Hills	Farmington Hills	Michigan	United States	48336
395	Genesee Cancer and Blood Disease Treatment Center	Flint	Michigan	United States	48503
396	Genesee Hematology Oncology PC	Flint	Michigan	United States	48503
397	Genesys Hurley Cancer Institute	Flint	Michigan	United States	48503
398	Hurley Medical Center	Flint	Michigan	United States	48503
399	Helen DeVos Children's Hospital at Spectrum Health	Grand Rapids	Michigan	United States	49503
400	Mercy Health Saint Mary's	Grand Rapids	Michigan	United States	49503
401	Spectrum Health at Butterworth Campus	Grand Rapids	Michigan	United States	49503
402	Academic Hematology Oncology Specialists	Grosse Pointe Woods	Michigan	United States	48236
403	Great Lakes Cancer Management Specialists-Van Elslander Cancer Center	Grosse Pointe Woods	Michigan	United States	48236
404	Michigan Breast Specialists-Grosse Pointe Woods	Grosse Pointe Woods	Michigan	United States	48236
405	Green Bay Oncology - Iron Mountain	Iron Mountain	Michigan	United States	49801
406	Allegiance Health	Jackson	Michigan	United States	49201
407	Bronson Methodist Hospital	Kalamazoo	Michigan	United States	49007
408	West Michigan Cancer Center	Kalamazoo	Michigan	United States	49007
409	Borgess Medical Center	Kalamazoo	Michigan	United States	49048
410	Sparrow Hospital	Lansing	Michigan	United States	48912
411	Hope Cancer Clinic	Livonia	Michigan	United States	48154
412	Saint Mary Mercy Hospital	Livonia	Michigan	United States	48154
413	Great Lakes Cancer Management Specialists-Macomb Medical Campus	Macomb	Michigan	United States	48044
414	Michigan Breast Specialists-Macomb Township	Macomb	Michigan	United States	48044
415	Saint Mary's Oncology/Hematology Associates of Marlette	Marlette	Michigan	United States	48453
416	McLaren Cancer Institute-Macomb	Mount Clemens	Michigan	United States	48043
417	Mercy Health Mercy Campus	Muskegon	Michigan	United States	49444
418	Lakeland Hospital Niles	Niles	Michigan	United States	49120
419	Cancer and Hematology Centers of Western Michigan - Norton Shores	Norton Shores	Michigan	United States	49444
420	Ascension Providence Hospitals - Novi	Novi	Michigan	United States	48374
421	21st Century Oncology-Pontiac	Pontiac	Michigan	United States	48341
422	Hope Cancer Center	Pontiac	Michigan	United States	48341
423	Newland Medical Associates-Pontiac	Pontiac	Michigan	United States	48341
424	Saint Joseph Mercy Oakland	Pontiac	Michigan	United States	48341
425	Lake Huron Medical Center	Port Huron	Michigan	United States	48060
426	Spectrum Health Reed City Hospital	Reed City	Michigan	United States	49677
427	Great Lakes Cancer Management Specialists-Rochester Hills	Rochester Hills	Michigan	United States	48309
428	William Beaumont Hospital-Royal Oak	Royal Oak	Michigan	United States	48073
429	Ascension Saint Mary's Hospital	Saginaw	Michigan	United States	48601
430	Oncology Hematology Associates of Saginaw Valley PC	Saginaw	Michigan	United States	48604
431	Lakeland Medical Center Saint Joseph	Saint Joseph	Michigan	United States	49085
432	Marie Yeager Cancer Center	Saint Joseph	Michigan	United States	49085
433	Ascension Providence Hospitals - Southfield	Southfield	Michigan	United States	48075
434	Bhadresh Nayak MD PC-Sterling Heights	Sterling Heights	Michigan	United States	48312
435	Munson Medical Center	Traverse City	Michigan	United States	49684
436	William Beaumont Hospital - Troy	Troy	Michigan	United States	48085
437	21st Century Oncology MHP - Troy	Troy	Michigan	United States	48098
438	Advanced Breast Care Center PLLC	Warren	Michigan	United States	48088
439	Great Lakes Cancer Management Specialists-Macomb Professional Building	Warren	Michigan	United States	48093
440	Macomb Hematology Oncology PC	Warren	Michigan	United States	48093
441	Michigan Breast Specialists-Warren	Warren	Michigan	United States	48093
442	Saint John Macomb-Oakland Hospital	Warren	Michigan	United States	48093
443	Saint Mary's Oncology/Hematology Associates of West Branch	West Branch	Michigan	United States	48661
444	Metro Health Hospital	Wyoming	Michigan	United States	49519
445	Huron Gastroenterology PC	Ypsilanti	Michigan	United States	48106
446	IHA Hematology Oncology Consultants-Ann Arbor	Ypsilanti	Michigan	United States	48197
447	Sanford Joe Lueken Cancer Center	Bemidji	Minnesota	United States	56601
448	Fairview Ridges Hospital	Burnsville	Minnesota	United States	55337
449	Mercy Hospital	Coon Rapids	Minnesota	United States	55433
450	Fairview-Southdale Hospital	Edina	Minnesota	United States	55435
451	Unity Hospital	Fridley	Minnesota	United States	55432
452	Hutchinson Area Health Care	Hutchinson	Minnesota	United States	55350
453	Fairview Maple Grove Medical Center	Maple Grove	Minnesota	United States	55369
454	Minnesota Oncology Hematology PA-Maplewood	Maplewood	Minnesota	United States	55109
455	Saint John's Hospital - Healtheast	Maplewood	Minnesota	United States	55109
456	Abbott-Northwestern Hospital	Minneapolis	Minnesota	United States	55407
457	Hennepin County Medical Center	Minneapolis	Minnesota	United States	55415
458	Health Partners Inc	Minneapolis	Minnesota	United States	55454
459	Monticello Cancer Center	Monticello	Minnesota	United States	55362
460	New Ulm Medical Center	New Ulm	Minnesota	United States	56073
461	North Memorial Medical Health Center	Robbinsdale	Minnesota	United States	55422
462	Mayo Clinic	Rochester	Minnesota	United States	55905
463	Coborn Cancer Center at Saint Cloud Hospital	Saint Cloud	Minnesota	United States	56303
464	Park Nicollet Clinic - Saint Louis Park	Saint Louis Park	Minnesota	United States	55416
465	Regions Hospital	Saint Paul	Minnesota	United States	55101
466	United Hospital	Saint Paul	Minnesota	United States	55102
467	Saint Francis Regional Medical Center	Shakopee	Minnesota	United States	55379
468	Lakeview Hospital	Stillwater	Minnesota	United States	55082
469	Ridgeview Medical Center	Waconia	Minnesota	United States	55387
470	Rice Memorial Hospital	Willmar	Minnesota	United States	56201
471	Minnesota Oncology Hematology PA-Woodbury	Woodbury	Minnesota	United States	55125
472	Fairview Lakes Medical Center	Wyoming	Minnesota	United States	55092
473	Baptist Memorial Hospital and Cancer Center-Golden Triangle	Columbus	Mississippi	United States	39705
474	Baptist Cancer Center-Grenada	Grenada	Mississippi	United States	38901
475	University of Mississippi Medical Center	Jackson	Mississippi	United States	39216
476	Baptist Memorial Hospital and Cancer Center-Union County	New Albany	Mississippi	United States	38652
477	Baptist Memorial Hospital and Cancer Center-Oxford	Oxford	Mississippi	United States	38655
478	Singing River Hospital	Pascagoula	Mississippi	United States	39581
479	Baptist Memorial Hospital and Cancer Center-Desoto	Southhaven	Mississippi	United States	38671
480	Parkland Health Center-Bonne Terre	Bonne Terre	Missouri	United States	63628
481	Southeast Missouri Hospital	Cape Girardeau	Missouri	United States	63701
482	Saint Francis Medical Center	Cape Girardeau	Missouri	United States	63703
483	Southeast Cancer Center	Cape Girardeau	Missouri	United States	63703
484	Saint Luke's Hospital	Chesterfield	Missouri	United States	63017
485	University of Missouri - Ellis Fischel	Columbia	Missouri	United States	65212
486	Siteman Cancer Center at West County Hospital	Creve Coeur	Missouri	United States	63141
487	Centerpoint Medical Center LLC	Independence	Missouri	United States	64057
488	Capital Region Southwest Campus	Jefferson City	Missouri	United States	65109
489	Saint Luke's Hospital of Kansas City	Kansas City	Missouri	United States	64111
490	North Kansas City Hospital	Kansas City	Missouri	United States	64116
491	Heartland Hematology and Oncology Associates Incorporated	Kansas City	Missouri	United States	64118
492	Kansas City Veterans Affairs Medical Center	Kansas City	Missouri	United States	64128
493	Research Medical Center	Kansas City	Missouri	United States	64132
494	Saint Luke's East - Lee's Summit	Lee's Summit	Missouri	United States	64086
495	Liberty Radiation Oncology Center	Liberty	Missouri	United States	64068
496	Heartland Regional Medical Center	Saint Joseph	Missouri	United States	64507
497	Saint Joseph Oncology Inc	Saint Joseph	Missouri	United States	64507
498	Saint Louis University Hospital	Saint Louis	Missouri	United States	63110
499	Washington University School of Medicine	Saint Louis	Missouri	United States	63110
500	Siteman Cancer Center-South County	Saint Louis	Missouri	United States	63129
501	Missouri Baptist Medical Center	Saint Louis	Missouri	United States	63131
502	Siteman Cancer Center at Christian Hospital	Saint Louis	Missouri	United States	63136
503	Siteman Cancer Center at Saint Peters Hospital	Saint Peters	Missouri	United States	63376
504	Sainte Genevieve County Memorial Hospital	Sainte Genevieve	Missouri	United States	63670
505	Missouri Baptist Sullivan Hospital	Sullivan	Missouri	United States	63080
506	Missouri Baptist Outpatient Center-Sunset Hills	Sunset Hills	Missouri	United States	63127
507	Community Hospital of Anaconda	Anaconda	Montana	United States	59711
508	Billings Clinic Cancer Center	Billings	Montana	United States	59101
509	Northern Rockies Radiation Oncology Center	Billings	Montana	United States	59101
510	Saint Vincent Healthcare	Billings	Montana	United States	59101
511	Bozeman Deaconess Hospital	Bozeman	Montana	United States	59715
512	Saint James Community Hospital and Cancer Treatment Center	Butte	Montana	United States	59701
513	Benefis Healthcare- Sletten Cancer Institute	Great Falls	Montana	United States	59405
514	Berdeaux, Donald MD (UIA Investigator)	Great Falls	Montana	United States	59405
515	Great Falls Clinic	Great Falls	Montana	United States	59405
516	Saint Peter's Community Hospital	Helena	Montana	United States	59601
517	Kalispell Regional Medical Center	Kalispell	Montana	United States	59901
518	Saint Patrick Hospital - Community Hospital	Missoula	Montana	United States	59802
519	Community Medical Hospital	Missoula	Montana	United States	59804
520	CHI Health Saint Francis	Grand Island	Nebraska	United States	68803
521	CHI Health Good Samaritan	Kearney	Nebraska	United States	68847
522	Nebraska Hematology and Oncology	Lincoln	Nebraska	United States	68506
523	Nebraska Cancer Research Center	Lincoln	Nebraska	United States	68510
524	Southeast Nebraska Cancer Center - 68th Street Place	Lincoln	Nebraska	United States	68516
525	Faith Regional Health Services Carson Cancer Center	Norfolk	Nebraska	United States	68701
526	Great Plains Health Callahan Cancer Center	North Platte	Nebraska	United States	69101
527	Missouri Valley Cancer Consortium	Omaha	Nebraska	United States	68106
528	Nebraska Methodist Hospital	Omaha	Nebraska	United States	68114
529	Alegent Health Immanuel Medical Center	Omaha	Nebraska	United States	68122
530	Alegent Health Bergan Mercy Medical Center	Omaha	Nebraska	United States	68124
531	Nebraska Cancer Specialists - Omaha	Omaha	Nebraska	United States	68124
532	Alegent Health Lakeside Hospital	Omaha	Nebraska	United States	68130
533	Oncology Hematology West PC	Omaha	Nebraska	United States	68130
534	Creighton University Medical Center	Omaha	Nebraska	United States	68131
535	Midlands Community Hospital	Papillion	Nebraska	United States	68046
536	Regional West Medical Center Cancer Center	Scottsbluff	Nebraska	United States	69361
537	Carson Tahoe Regional Medical Center	Carson City	Nevada	United States	89703
538	Cancer and Blood Specialists-Henderson	Henderson	Nevada	United States	89052
539	Comprehensive Cancer Centers of Nevada - Henderson	Henderson	Nevada	United States	89052
540	Las Vegas Cancer Center-Henderson	Henderson	Nevada	United States	89052
541	OptumCare Cancer Care at Seven Hills	Henderson	Nevada	United States	89052
542	21st Century Oncology-Henderson	Henderson	Nevada	United States	89074
543	Comprehensive Cancer Centers of Nevada-Southeast Henderson	Henderson	Nevada	United States	89074
544	University Medical Center of Southern Nevada	Las Vegas	Nevada	United States	89102
545	Cancer and Blood Specialists-Shadow	Las Vegas	Nevada	United States	89106
546	OptumCare Cancer Care at Oakey	Las Vegas	Nevada	United States	89106
547	Radiation Oncology Centers of Nevada Central	Las Vegas	Nevada	United States	89106
548	21st Century Oncology	Las Vegas	Nevada	United States	89109
549	HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway	Las Vegas	Nevada	United States	89109
550	HealthCare Partners Medical Group Oncology/Hematology-San Martin	Las Vegas	Nevada	United States	89113
551	Radiation Oncology Centers of Nevada Southeast	Las Vegas	Nevada	United States	89119
552	Cancer Therapy and Integrative Medicine	Las Vegas	Nevada	United States	89121
553	21st Century Oncology-Vegas Tenaya	Las Vegas	Nevada	United States	89128
554	Ann M Wierman MD LTD	Las Vegas	Nevada	United States	89128
555	Cancer and Blood Specialists-Tenaya	Las Vegas	Nevada	United States	89128
556	Comprehensive Cancer Centers of Nevada - Northwest	Las Vegas	Nevada	United States	89128
557	HealthCare Partners Medical Group Oncology/Hematology-Tenaya	Las Vegas	Nevada	United States	89128
558	OptumCare Cancer Care at MountainView	Las Vegas	Nevada	United States	89128
559	Alliance for Childhood Diseases/Cure 4 the Kids Foundation	Las Vegas	Nevada	United States	89135
560	Comprehensive Cancer Centers of Nevada-Summerlin	Las Vegas	Nevada	United States	89144
561	Summerlin Hospital Medical Center	Las Vegas	Nevada	United States	89144
562	Las Vegas Cancer Center-Medical Center	Las Vegas	Nevada	United States	89148-2405
563	21st Century Oncology-Fort Apache	Las Vegas	Nevada	United States	89148
564	Comprehensive Cancer Centers of Nevada	Las Vegas	Nevada	United States	89148
565	OptumCare Cancer Care at Fort Apache	Las Vegas	Nevada	United States	89148
566	HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills	Las Vegas	Nevada	United States	89149
567	Comprehensive Cancer Centers of Nevada - Central Valley	Las Vegas	Nevada	United States	89169
568	University Cancer Center	Las Vegas	Nevada	United States	89169
569	Renown Regional Medical Center	Reno	Nevada	United States	89502
570	Saint Mary's Regional Medical Center	Reno	Nevada	United States	89503
571	Radiation Oncology Associates	Reno	Nevada	United States	89509
572	Cancer Care Specialists - Reno	Reno	Nevada	United States	89511
573	New Hampshire Oncology Hematology PA-Concord	Concord	New Hampshire	United States	03301
574	Exeter Hospital	Exeter	New Hampshire	United States	03833
575	Dartmouth Hitchcock Medical Center	Lebanon	New Hampshire	United States	03756
576	Elliot Hospital	Manchester	New Hampshire	United States	03103
577	Norris Cotton Cancer Center-Nashua	Nashua	New Hampshire	United States	03063
578	Memorial Sloan Kettering Basking Ridge	Basking Ridge	New Jersey	United States	07920
579	Cooper Hospital University Medical Center	Camden	New Jersey	United States	08103
580	Memorial Sloan Kettering Monmouth	Middletown	New Jersey	United States	07748
581	Memorial Sloan Kettering Bergen	Montvale	New Jersey	United States	07645
582	Virtua Memorial	Mount Holly	New Jersey	United States	08060
583	The Valley Hospital-Luckow Pavilion	Paramus	New Jersey	United States	07652
584	Neurosurgeons of New Jersey-Ridgewood	Ridgewood	New Jersey	United States	07450
585	Valley Hospital	Ridgewood	New Jersey	United States	07450
586	Sparta Cancer Treatment Center	Sparta	New Jersey	United States	07871
587	MD Anderson Cancer Center at Cooper-Voorhees	Voorhees	New Jersey	United States	08043
588	Virtua Voorhees	Voorhees	New Jersey	United States	08043
589	Valley Health System-Hematology/Oncology	Westwood	New Jersey	United States	07675
590	University of New Mexico Cancer Center	Albuquerque	New Mexico	United States	87102
591	Montefiore Medical Center-Weiler Hospital	Bronx	New York	United States	10461
592	Montefiore Medical Center - Moses Campus	Bronx	New York	United States	10467
593	Veterans Affairs Western New York Health Care System-Buffalo	Buffalo	New York	United States	14215
594	Sands Cancer Center	Canandaigua	New York	United States	14424
595	Memorial Sloan Kettering Commack	Commack	New York	United States	11725
596	Arnot Ogden Medical Center/Falck Cancer Center	Elmira	New York	United States	14905
597	Glens Falls Hospital	Glens Falls	New York	United States	12801
598	Memorial Sloan Kettering Westchester	Harrison	New York	United States	10604
599	Memorial Sloan Kettering Cancer Center	New York	New York	United States	10065
600	Highland Hospital	Rochester	New York	United States	14620
601	Rochester General Hospital	Rochester	New York	United States	14621
602	University Radiation Oncology	Rochester	New York	United States	14626
603	University of Rochester	Rochester	New York	United States	14642
604	Memorial Sloan Kettering Sleepy Hollow	Sleepy Hollow	New York	United States	10591
605	Stony Brook University Medical Center	Stony Brook	New York	United States	11794
606	State University of New York Upstate Medical University	Syracuse	New York	United States	13210
607	Syracuse Veterans Administration Medical Center	Syracuse	New York	United States	13210
608	SUNY Upstate Medical Center-Community Campus	Syracuse	New York	United States	13215
609	Memorial Sloan Kettering Nassau	Uniondale	New York	United States	11553
610	Cancer Care of Western North Carolina	Asheville	North Carolina	United States	28801
611	Mission Hospital	Asheville	North Carolina	United States	28801
612	Mountain Radiation Oncology PA	Asheville	North Carolina	United States	28801
613	AdventHealth Infusion Center Asheville	Asheville	North Carolina	United States	28803
614	Hope Women's Cancer Centers-Asheville	Asheville	North Carolina	United States	28816
615	Transylvania Regional Hospital	Brevard	North Carolina	United States	28712
616	UNC Lineberger Comprehensive Cancer Center	Chapel Hill	North Carolina	United States	27599
617	Novant Health Presbyterian Medical Center	Charlotte	North Carolina	United States	28204
618	Oncology Specialists of Charlotte	Charlotte	North Carolina	United States	28207
619	Southern Oncology Specialists-Charlotte	Charlotte	North Carolina	United States	28262
620	Southeastern Medical Oncology Center-Clinton	Clinton	North Carolina	United States	28328
621	Duke University Medical Center	Durham	North Carolina	United States	27710
622	Angel Medical Center	Franklin	North Carolina	United States	28734
623	Southeastern Medical Oncology Center-Goldsboro	Goldsboro	North Carolina	United States	27534
624	Wayne Memorial Hospital	Goldsboro	North Carolina	United States	27534
625	Carolina Radiation Medicine's Cancer Treatment Center	Greenville	North Carolina	United States	27834
626	Margaret R Pardee Memorial Hospital	Hendersonville	North Carolina	United States	28791
627	AdventHealth Hendersonville	Hendersonville	North Carolina	United States	28792
628	Lake Norman Hematology Oncology Specialists-Huntersville	Huntersville	North Carolina	United States	28078
629	Southern Oncology Specialists-Huntersville	Huntersville	North Carolina	United States	28078
630	Onslow Memorial Hospital	Jacksonville	North Carolina	United States	28546
631	Southeastern Medical Oncology Center-Jacksonville	Jacksonville	North Carolina	United States	28546
632	Vidant Oncology-Kenansville	Kenansville	North Carolina	United States	28349
633	Novant Health Oncology Specialists-Kernersville	Kernersville	North Carolina	United States	27284
634	Vidant Oncology-Kinston	Kinston	North Carolina	United States	28501
635	Mission Hospital McDowell	Marion	North Carolina	United States	28752
636	Matthews Radiation Oncology Center	Matthews	North Carolina	United States	28105
637	Novant Health Cancer Specialists-Matthews	Matthews	North Carolina	United States	28105
638	Lake Norman Hematology Oncology Specialists-Mooresville	Mooresville	North Carolina	United States	28117
639	Novant Health Oncology Specialists-Mount Airy	Mount Airy	North Carolina	United States	27030
640	FirstHealth of the Carolinas-Moore Regional Hospital	Pinehurst	North Carolina	United States	28374
641	Duke Raleigh Hospital	Raleigh	North Carolina	United States	27609
642	Vidant Oncology-Richlands	Richlands	North Carolina	United States	28574
643	Carolina Oncology Associates PA	Salisbury	North Carolina	United States	28144
644	Rowan Regional Medical Center	Salisbury	North Carolina	United States	28144
645	Blue Ridge Regional Hospital	Spruce Pine	North Carolina	United States	28777
646	Novant Health Oncology Specialists-Statesville	Statesville	North Carolina	United States	28625
647	Iredell Memorial Hospital	Statesville	North Carolina	United States	28677
648	NHRMC Radiation Oncology - Supply	Supply	North Carolina	United States	28462
649	Novant Health Oncology Specialists-Davidson County	Thomasville	North Carolina	United States	27360
650	Novant Health Oncology Specialists-Wilkesboro	Wilkesboro	North Carolina	United States	28659
651	New Hanover Regional Medical Center/Zimmer Cancer Center	Wilmington	North Carolina	United States	28401
652	NHRMC Radiation Oncology - 16th Street	Wilmington	North Carolina	United States	28401
653	Novant Health Forsyth Medical Center	Winston-Salem	North Carolina	United States	27103
654	Novant Health Oncology Specialists	Winston-Salem	North Carolina	United States	27103
655	Winston-Salem Health Care	Winston-Salem	North Carolina	United States	27103
656	Southeast Clinical Oncology Research Consortium NCORP	Winston-Salem	North Carolina	United States	27104
657	Wake Forest University Health Sciences	Winston-Salem	North Carolina	United States	27157
658	Mid Dakota Clinic	Bismarck	North Dakota	United States	58501
659	Saint Alexius Medical Center	Bismarck	North Dakota	United States	58501
660	Sanford Bismarck Medical Center	Bismarck	North Dakota	United States	58501
661	Sanford Broadway Medical Center	Fargo	North Dakota	United States	58122
662	Sanford Clinic North-Fargo	Fargo	North Dakota	United States	58122
663	Sanford Roger Maris Cancer Center	Fargo	North Dakota	United States	58122
664	Altru Cancer Center	Grand Forks	North Dakota	United States	58201
665	Trinity Cancer Care Center	Minot	North Dakota	United States	58701
666	Summa Health System - Akron Campus	Akron	Ohio	United States	44304
667	Cleveland Clinic Akron General	Akron	Ohio	United States	44307
668	Summa Health System - Barberton Campus	Barberton	Ohio	United States	44203
669	UHHS-Chagrin Highlands Medical Center	Beachwood	Ohio	United States	44122
670	Strecker Cancer Center-Belpre	Belpre	Ohio	United States	45714
671	Aultman Health Foundation	Canton	Ohio	United States	44710
672	Geauga Hospital	Chardon	Ohio	United States	44024
673	Adena Regional Medical Center	Chillicothe	Ohio	United States	45601
674	University of Cincinnati/Barrett Cancer Center	Cincinnati	Ohio	United States	45219
675	Good Samaritan Hospital - Cincinnati	Cincinnati	Ohio	United States	45220
676	Bethesda North Hospital	Cincinnati	Ohio	United States	45242
677	Case Western Reserve University	Cleveland	Ohio	United States	44106
678	Cleveland Clinic Cancer Center/Fairview Hospital	Cleveland	Ohio	United States	44111
679	Cleveland Clinic Foundation	Cleveland	Ohio	United States	44195
680	Ohio State University Comprehensive Cancer Center	Columbus	Ohio	United States	43210
681	Columbus Oncology and Hematology Associates Inc	Columbus	Ohio	United States	43214
682	Riverside Methodist Hospital	Columbus	Ohio	United States	43214
683	Columbus NCI Community Oncology Research Program	Columbus	Ohio	United States	43215
684	Grant Medical Center	Columbus	Ohio	United States	43215
685	The Mark H Zangmeister Center	Columbus	Ohio	United States	43219
686	Mount Carmel Health Center West	Columbus	Ohio	United States	43222
687	Doctors Hospital	Columbus	Ohio	United States	43228
688	Dayton Veterans Affairs Medical Center	Dayton	Ohio	United States	45428
689	Delaware Health Center-Grady Cancer Center	Delaware	Ohio	United States	43015
690	Delaware Radiation Oncology	Delaware	Ohio	United States	43015
691	Grady Memorial Hospital	Delaware	Ohio	United States	43015
692	Mercy Cancer Center-Elyria	Elyria	Ohio	United States	44035
693	Cleveland Clinic Cancer Center Independence	Independence	Ohio	United States	44131
694	Fairfield Medical Center	Lancaster	Ohio	United States	43130
695	Lancaster Radiation Oncology	Lancaster	Ohio	United States	43130
696	OhioHealth Mansfield Hospital	Mansfield	Ohio	United States	44903
697	Cleveland Clinic Cancer Center Mansfield	Mansfield	Ohio	United States	44906
698	Marietta Memorial Hospital	Marietta	Ohio	United States	45750
699	OhioHealth Marion General Hospital	Marion	Ohio	United States	43302
700	Hillcrest Hospital Cancer Center	Mayfield Heights	Ohio	United States	44124
701	Summa Health Medina Medical Center	Medina	Ohio	United States	44256
702	UH Seidman Cancer Center at Lake Health Mentor Campus	Mentor	Ohio	United States	44060
703	UH Seidman Cancer Center at Southwest General Hospital	Middleburg Heights	Ohio	United States	44130
704	Knox Community Hospital	Mount Vernon	Ohio	United States	43050
705	Licking Memorial Hospital	Newark	Ohio	United States	43055
706	Newark Radiation Oncology	Newark	Ohio	United States	43055
707	University Hospitals Parma Medical Center	Parma	Ohio	United States	44129
708	Southern Ohio Medical Center	Portsmouth	Ohio	United States	45662
709	University Hospitals Portage Medical Center	Ravenna	Ohio	United States	44266
710	UH Seidman Cancer Center at Salem Regional Medical Center	Salem	Ohio	United States	44460
711	North Coast Cancer Care	Sandusky	Ohio	United States	44870
712	Springfield Regional Medical Center	Springfield	Ohio	United States	45505
713	Cleveland Clinic Cancer Center Strongsville	Strongsville	Ohio	United States	44136
714	ProMedica Flower Hospital	Sylvania	Ohio	United States	43560
715	The Toledo Hospital/Toledo Children's Hospital	Toledo	Ohio	United States	43606
716	University Pointe	West Chester	Ohio	United States	45069
717	Saint Ann's Hospital	Westerville	Ohio	United States	43081
718	UHHS-Westlake Medical Center	Westlake	Ohio	United States	44145
719	Cancer Treatment Center	Wooster	Ohio	United States	44691
720	Cleveland Clinic Wooster Family Health and Surgery Center	Wooster	Ohio	United States	44691
721	Wright-Patterson Medical Center	Wright-Patterson Air Force Base	Ohio	United States	45433-5529
722	Genesis Healthcare System Cancer Care Center	Zanesville	Ohio	United States	43701
723	University of Oklahoma Health Sciences Center	Oklahoma City	Oklahoma	United States	73104
724	Integris Southwest Medical Center	Oklahoma City	Oklahoma	United States	73109
725	Integris Cancer Institute of Oklahoma	Oklahoma City	Oklahoma	United States	73142
726	Natalie Warren Bryant Cancer Center at Saint Francis	Tulsa	Oklahoma	United States	74136
727	Surgical Associates Inc	Tulsa	Oklahoma	United States	74136
728	Saint Alphonsus Medical Center-Baker City	Baker City	Oregon	United States	97814
729	Saint Charles Health System	Bend	Oregon	United States	97701
730	Clackamas Radiation Oncology Center	Clackamas	Oregon	United States	97015
731	Providence Cancer Institute Clackamas Clinic	Clackamas	Oregon	United States	97015
732	Bay Area Hospital	Coos Bay	Oregon	United States	97420
733	Providence Milwaukie Hospital	Milwaukie	Oregon	United States	97222
734	Providence Newberg Medical Center	Newberg	Oregon	United States	97132
735	Saint Alphonsus Medical Center-Ontario	Ontario	Oregon	United States	97914
736	Providence Willamette Falls Medical Center	Oregon City	Oregon	United States	97045
737	Providence Portland Medical Center	Portland	Oregon	United States	97213
738	Providence Saint Vincent Medical Center	Portland	Oregon	United States	97225
739	Mid-Columbia Medical Center/Celilo Cancer Center	The Dalles	Oregon	United States	97058
740	Abington Memorial Hospital	Abington	Pennsylvania	United States	19001
741	Lehigh Valley Hospital-Cedar Crest	Allentown	Pennsylvania	United States	18103
742	UPMC-Heritage Valley Health System Beaver	Beaver	Pennsylvania	United States	15009
743	Lehigh Valley Hospital - Muhlenberg	Bethlehem	Pennsylvania	United States	18017
744	Crozer-Keystone Regional Cancer Center at Broomall	Broomall	Pennsylvania	United States	19008
745	Bryn Mawr Hospital	Bryn Mawr	Pennsylvania	United States	19010
746	Mercy Fitzgerald Hospital	Darby	Pennsylvania	United States	19023-1291
747	Delaware County Memorial Hospital	Drexel Hill	Pennsylvania	United States	19026
748	Northeast Radiation Oncology Center	Dunmore	Pennsylvania	United States	18512
749	Pocono Medical Center	East Stroudsburg	Pennsylvania	United States	18301
750	Ephrata Cancer Center	Ephrata	Pennsylvania	United States	17522
751	Ephrata Community Hospital	Ephrata	Pennsylvania	United States	17522
752	Adams Cancer Center	Gettysburg	Pennsylvania	United States	17325
753	Crozer Regional Cancer Center at Brinton Lake	Glen Mills	Pennsylvania	United States	19342
754	UPMC Cancer Centers - Arnold Palmer Pavilion	Greensburg	Pennsylvania	United States	15601
755	Cherry Tree Cancer Center	Hanover	Pennsylvania	United States	17331
756	Penn State Milton S Hershey Medical Center	Hershey	Pennsylvania	United States	17033-0850
757	UPMC-Johnstown/John P. Murtha Regional Cancer Center	Johnstown	Pennsylvania	United States	15901
758	Sechler Family Cancer Center	Lebanon	Pennsylvania	United States	17042
759	UPMC Cancer Center at UPMC McKeesport	McKeesport	Pennsylvania	United States	15132
760	Holy Redeemer Hospital and Medical Center	Meadowbrook	Pennsylvania	United States	19046
761	Riddle Memorial Hospital	Media	Pennsylvania	United States	19063
762	Upper Delaware Valley Cancer Center	Milford	Pennsylvania	United States	18337
763	UPMC-Coraopolis/Heritage Valley Radiation Oncology	Moon	Pennsylvania	United States	15108
764	UPMC Cancer Center-Natrona Heights	Natrona Heights	Pennsylvania	United States	15065
765	UPMC Jameson	New Castle	Pennsylvania	United States	16105
766	Paoli Memorial Hospital	Paoli	Pennsylvania	United States	19301
767	University of Pennsylvania/Abramson Cancer Center	Philadelphia	Pennsylvania	United States	19104
768	Thomas Jefferson University Hospital	Philadelphia	Pennsylvania	United States	19107
769	Fox Chase Cancer Center	Philadelphia	Pennsylvania	United States	19111
770	Aria Health-Torresdale Campus	Philadelphia	Pennsylvania	United States	19114
771	Temple University Hospital	Philadelphia	Pennsylvania	United States	19140
772	Einstein Medical Center Philadelphia	Philadelphia	Pennsylvania	United States	19141
773	UPMC-Presbyterian Hospital	Pittsburgh	Pennsylvania	United States	15213
774	UPMC-Saint Margaret	Pittsburgh	Pennsylvania	United States	15215
775	University of Pittsburgh Cancer Institute (UPCI)	Pittsburgh	Pennsylvania	United States	15232
776	UPMC-Shadyside Hospital	Pittsburgh	Pennsylvania	United States	15232
777	UPMC Jefferson Regional Radiation Oncology	Pittsburgh	Pennsylvania	United States	15236
778	UPMC-Passavant Hospital	Pittsburgh	Pennsylvania	United States	15237
779	UPMC-Saint Clair Hospital Cancer Center	Pittsburgh	Pennsylvania	United States	15243
780	UPMC Cancer Center at UPMC Northwest	Seneca	Pennsylvania	United States	16346
781	UPMC Uniontown Hospital Radiation Oncology	Uniontown	Pennsylvania	United States	15401
782	Crozer-Chester Medical Center	Upland	Pennsylvania	United States	19013
783	UPMC Washington Hospital Radiation Oncology	Washington	Pennsylvania	United States	15301
784	Reading Hospital	West Reading	Pennsylvania	United States	19611
785	Lankenau Medical Center	Wynnewood	Pennsylvania	United States	19096
786	WellSpan Health-York Cancer Center	York	Pennsylvania	United States	17403
787	WellSpan Health-York Hospital	York	Pennsylvania	United States	17403
788	AnMed Health Cancer Center	Anderson	South Carolina	United States	29621
789	AnMed Health Hospital	Anderson	South Carolina	United States	29621
790	Medical University of South Carolina	Charleston	South Carolina	United States	29425
791	Prisma Health Cancer Institute - Easley	Easley	South Carolina	United States	29640
792	Gibbs Cancer Center-Gaffney	Gaffney	South Carolina	United States	29341
793	Tidelands Georgetown Memorial Hospital	Georgetown	South Carolina	United States	29440
794	Greenville Health System Cancer Institute-Andrews	Greenville	South Carolina	United States	29601
795	Saint Francis Hospital	Greenville	South Carolina	United States	29601
796	Prisma Health Cancer Institute - Butternut	Greenville	South Carolina	United States	29605
797	Prisma Health Cancer Institute - Faris	Greenville	South Carolina	United States	29605
798	Prisma Health Greenville Memorial Hospital	Greenville	South Carolina	United States	29605
799	Saint Francis Cancer Center	Greenville	South Carolina	United States	29607
800	Prisma Health Cancer Institute - Eastside	Greenville	South Carolina	United States	29615
801	Self Regional Healthcare	Greenwood	South Carolina	United States	29646
802	Prisma Health Cancer Institute - Greer	Greer	South Carolina	United States	29650
803	Gibbs Cancer Center-Pelham	Greer	South Carolina	United States	29651
804	Carolina Blood and Cancer Care Associates PA-Lancaster	Lancaster	South Carolina	United States	29720
805	Carolina Regional Cancer Center	Myrtle Beach	South Carolina	United States	29577
806	Carolina Blood and Cancer Care Associates PA	Rock Hill	South Carolina	United States	29732
807	Prisma Health Cancer Institute - Seneca	Seneca	South Carolina	United States	29672
808	Spartanburg Medical Center	Spartanburg	South Carolina	United States	29303
809	Prisma Health Cancer Institute - Spartanburg	Spartanburg	South Carolina	United States	29307
810	MGC Hematology Oncology-Union	Union	South Carolina	United States	29379
811	Sanford Cancer Center Oncology Clinic	Sioux Falls	South Dakota	United States	57104
812	Medical X-Ray Center	Sioux Falls	South Dakota	United States	57105
813	Sanford USD Medical Center - Sioux Falls	Sioux Falls	South Dakota	United States	57117-5134
814	Wellmont Bristol Regional Medical Center	Bristol	Tennessee	United States	37620
815	Wellmont Medical Associates Oncology and Hematology-Bristol	Bristol	Tennessee	United States	37620
816	Memorial Hospital	Chattanooga	Tennessee	United States	37404
817	Cookeville Regional Medical Center	Cookeville	Tennessee	United States	38501
818	Wellmont Medical Associates Oncology and Hematology-Johnson City	Johnson City	Tennessee	United States	37604
819	Regional Cancer Center at Indian Path Community Hospital	Kingsport	Tennessee	United States	37660
820	Wellmont Holston Valley Hospital and Medical Center	Kingsport	Tennessee	United States	37660
821	Thompson Cancer Survival Center	Knoxville	Tennessee	United States	37916
822	University of Tennessee - Knoxville	Knoxville	Tennessee	United States	37920
823	Blount Memorial Hospital	Maryville	Tennessee	United States	37804
824	Baptist Memorial Hospital and Cancer Center-Memphis	Memphis	Tennessee	United States	38120
825	Baptist Memorial Hospital for Women	Memphis	Tennessee	United States	38120
826	The Don and Sybil Harrington Cancer Center	Amarillo	Texas	United States	79106
827	Baptist Hospitals of Southeast Texas Cancer Center	Beaumont	Texas	United States	77701
828	Saint Joseph Regional Cancer Center	Bryan	Texas	United States	77802
829	MD Anderson in The Woodlands	Conroe	Texas	United States	77384
830	Parkland Memorial Hospital	Dallas	Texas	United States	75235
831	UT Southwestern/Simmons Cancer Center-Dallas	Dallas	Texas	United States	75390
832	University of Texas Medical Branch	Galveston	Texas	United States	77555-0565
833	M D Anderson Cancer Center	Houston	Texas	United States	77030
834	MD Anderson West Houston	Houston	Texas	United States	77079
835	MD Anderson League City	League City	Texas	United States	77573
836	UTMB Cancer Center at Victory Lakes	League City	Texas	United States	77573
837	University of Texas Health Science Center at San Antonio	San Antonio	Texas	United States	78229
838	MD Anderson in Sugar Land	Sugar Land	Texas	United States	77478
839	Sandra L Maxwell Cancer Center	Cedar City	Utah	United States	84720
840	Logan Regional Hospital	Logan	Utah	United States	84321
841	Intermountain Medical Center	Murray	Utah	United States	84107
842	McKay-Dee Hospital Center	Ogden	Utah	United States	84403
843	Utah Valley Regional Medical Center	Provo	Utah	United States	84604
844	Riverton Hospital	Riverton	Utah	United States	84065
845	Dixie Medical Center Regional Cancer Center	Saint George	Utah	United States	84770
846	Utah Cancer Specialists-Salt Lake City	Salt Lake City	Utah	United States	84106
847	LDS Hospital	Salt Lake City	Utah	United States	84143
848	Norris Cotton Cancer Center-North	Saint Johnsbury	Vermont	United States	05819
849	Wellmont Medical Associates-Bristol	Bristol	Virginia	United States	24201
850	Southwest VA Regional Cancer Center	Norton	Virginia	United States	24273
851	Providence Regional Cancer System-Aberdeen	Aberdeen	Washington	United States	98520
852	Cancer Care Center at Island Hospital	Anacortes	Washington	United States	98221
853	MultiCare Auburn Medical Center	Auburn	Washington	United States	98001
854	Overlake Hospital Medical Center	Bellevue	Washington	United States	98004
855	Swedish Cancer Institute-Eastside Oncology Hematology	Bellevue	Washington	United States	98005
856	PeaceHealth Saint Joseph Medical Center	Bellingham	Washington	United States	98225
857	Harrison HealthPartners Hematology and Oncology-Bremerton	Bremerton	Washington	United States	98310
858	Harrison Medical Center	Bremerton	Washington	United States	98310
859	Highline Medical Center-Main Campus	Burien	Washington	United States	98166
860	Providence Regional Cancer System-Centralia	Centralia	Washington	United States	98531
861	Swedish Cancer Institute-Edmonds	Edmonds	Washington	United States	98026
862	Providence Regional Cancer Partnership	Everett	Washington	United States	98201
863	MultiCare Gig Harbor Medical Park	Gig Harbor	Washington	United States	98335
864	Swedish Cancer Institute-Issaquah	Issaquah	Washington	United States	98029
865	Kadlec Clinic Hematology and Oncology	Kennewick	Washington	United States	99336
866	Providence Regional Cancer System-Lacey	Lacey	Washington	United States	98503
867	PeaceHealth Saint John Medical Center	Longview	Washington	United States	98632
868	MultiCare Good Samaritan Hospital	Puyallup	Washington	United States	98372
869	Valley Medical Center	Renton	Washington	United States	98055
870	Minor and James Medical PLLC	Seattle	Washington	United States	98104
871	Pacific Gynecology Specialists	Seattle	Washington	United States	98104
872	Swedish Medical Center-Ballard Campus	Seattle	Washington	United States	98107
873	Kaiser Permanente Washington	Seattle	Washington	United States	98112
874	Swedish Medical Center-First Hill	Seattle	Washington	United States	98122-4307
875	PeaceHealth United General Medical Center	Sedro-Woolley	Washington	United States	98284
876	Providence Regional Cancer System-Shelton	Shelton	Washington	United States	98584
877	MultiCare Deaconess Cancer and Blood Specialty Center - Valley	Spokane Valley	Washington	United States	99216
878	Rockwood Cancer Treatment Center-DHEC-Downtown	Spokane	Washington	United States	99204
879	Evergreen Hematology and Oncology PS	Spokane	Washington	United States	99218
880	MultiCare Deaconess Cancer and Blood Specialty Center - North	Spokane	Washington	United States	99218
881	Mary Bridge Children's Hospital and Health Center	Tacoma	Washington	United States	98405
882	MultiCare Tacoma General Hospital	Tacoma	Washington	United States	98405
883	Northwest Medical Specialties PLLC	Tacoma	Washington	United States	98405
884	PeaceHealth Southwest Medical Center	Vancouver	Washington	United States	98664
885	Compass Oncology Vancouver	Vancouver	Washington	United States	98684
886	Providence Saint Mary Regional Cancer Center	Walla Walla	Washington	United States	99362
887	North Star Lodge Cancer Center at Yakima Valley Memorial Hospital	Yakima	Washington	United States	98902
888	Providence Regional Cancer System-Yelm	Yelm	Washington	United States	98597
889	United Hospital Center	Bridgeport	West Virginia	United States	26330
890	West Virginia University Charleston Division	Charleston	West Virginia	United States	25304
891	West Virginia University Healthcare	Morgantown	West Virginia	United States	26506
892	Camden Clark Medical Center	Parkersburg	West Virginia	United States	26101
893	Wheeling Hospital/Schiffler Cancer Center	Wheeling	West Virginia	United States	26003
894	Langlade Hospital and Cancer Center	Antigo	Wisconsin	United States	54409
895	Ascension Saint Elizabeth Hospital	Appleton	Wisconsin	United States	54915
896	Ascension Southeast Wisconsin Hospital - Elmbrook Campus	Brookfield	Wisconsin	United States	53045
897	Marshfield Clinic Cancer Center at Sacred Heart	Eau Claire	Wisconsin	United States	54701
898	Marshfield Medical Center-EC Cancer Center	Eau Claire	Wisconsin	United States	54701
899	Saint Agnes Hospital/Agnesian Cancer Center	Fond Du Lac	Wisconsin	United States	54935
900	Ascension Saint Francis - Reiman Cancer Center	Franklin	Wisconsin	United States	53132
901	Green Bay Oncology at Saint Vincent Hospital	Green Bay	Wisconsin	United States	54301-3526
902	Saint Vincent Hospital Cancer Center Green Bay	Green Bay	Wisconsin	United States	54301
903	Green Bay Oncology Limited at Saint Mary's Hospital	Green Bay	Wisconsin	United States	54303
904	Saint Vincent Hospital Cancer Center at Saint Mary's	Green Bay	Wisconsin	United States	54303
905	UW Cancer Center Johnson Creek	Johnson Creek	Wisconsin	United States	53038
906	Gundersen Lutheran Medical Center	La Crosse	Wisconsin	United States	54601
907	University of Wisconsin Hospital and Clinics	Madison	Wisconsin	United States	53792
908	Bay Area Medical Center	Marinette	Wisconsin	United States	54143
909	Marshfield Medical Center-Marshfield	Marshfield	Wisconsin	United States	54449
910	Medical College of Wisconsin	Milwaukee	Wisconsin	United States	53226
911	Zablocki Veterans Administration Medical Center	Milwaukee	Wisconsin	United States	53295
912	Marshfield Clinic-Minocqua Center	Minocqua	Wisconsin	United States	54548
913	Cancer Center of Western Wisconsin	New Richmond	Wisconsin	United States	54017
914	Saint Vincent Hospital Cancer Center at Oconto Falls	Oconto Falls	Wisconsin	United States	54154
915	Ascension Mercy Hospital	Oshkosh	Wisconsin	United States	54904
916	Ascension All Saints Hospital	Racine	Wisconsin	United States	53405
917	Saint Mary's Hospital	Rhinelander	Wisconsin	United States	54501
918	Marshfield Medical Center-Rice Lake	Rice Lake	Wisconsin	United States	54868
919	Marshfield Clinic Stevens Point Center	Stevens Point	Wisconsin	United States	54482
920	Saint Vincent Hospital Cancer Center at Sturgeon Bay	Sturgeon Bay	Wisconsin	United States	54235-1495
921	Green Bay Oncology - Sturgeon Bay	Sturgeon Bay	Wisconsin	United States	54235
922	Aspirus Regional Cancer Center	Wausau	Wisconsin	United States	54401
923	Diagnostic and Treatment Center	Weston	Wisconsin	United States	54476
924	Marshfield Clinic - Weston Center	Weston	Wisconsin	United States	54476
925	Aspirus UW Cancer Center	Wisconsin Rapids	Wisconsin	United States	54494
926	Rocky Mountain Oncology	Casper	Wyoming	United States	82609
927	Cheyenne Regional Medical Center-West	Cheyenne	Wyoming	United States	82001
928	Big Horn Basin Cancer Center	Cody	Wyoming	United States	82414
929	Billings Clinic-Cody	Cody	Wyoming	United States	82414
930	Welch Cancer Center	Sheridan	Wyoming	United States	82801
931	Rabin Medical Center	Petach Tikva		Israel	49100
932	Yonsei University Health System-Severance Hospital	Seoul		Korea, Republic of	120-752
933	San Juan Community Oncology Group	San Juan		Puerto Rico	00917
934	San Juan City Hospital	San Juan		Puerto Rico	00936