Testing the Timing of Pembrolizumab Alone or With Chemotherapy as First Line Treatment and Maintenance in Non-small Cell Lung Cancer

• Sponsor: National Cancer Institute (NCI) (NIH)
• Overall Status: Recruiting
• CT.gov ID: NCT03793179
• Collaborator: (none)
• Enrollment: 846
• Locations: 1045
• Arms: 3
• Anticipated Duration (Months): 43
• Patients Per Site: 0.8
• Patients Per Site Per Month: 0

Study Details

Study Description

Brief Summary

This phase III trial studies whether pembrolizumab alone as a first-line treatment, followed by pemetrexed and carboplatin with or without pembrolizumab after disease progression is superior to induction with pembrolizumab, pemetrexed and carboplatin followed by pembrolizumab and pemetrexed maintenance in treating patients with stage IV non-squamous non-small cell lung cancer. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Drugs used in chemotherapy, such as pemetrexed and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known whether giving first-line pembrolizumab followed by pemetrexed and carboplatin with or without pembrolizumab works better in treating patients with non-squamous non-small cell cancer.

Condition or Disease	Intervention/Treatment	Phase
Lung Non-Squamous Non-Small Cell Carcinoma; Stage IIIB Lung Cancer AJCC v8; Stage IIIC Lung Cancer AJCC v8; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8	Drug: Carboplatin; Biological: Pembrolizumab; Drug: Pemetrexed	Phase 3

Detailed Description

PRIMARY OBJECTIVE:

1. To evaluate overall survival (OS) in each of the 2 experimental arms (Arms A and B) to control (Arm C).

SECONDARY OBJECTIVES:

1. To evaluate progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 for Arm C versus each of Arms A and B.

2. To evaluate best objective response rates per RECIST 1.1 for Arm C versus each of Arms A and B.

3. To estimate toxicity within each of the treatment arms via the Common Terminology Criteria for Adverse Events (CTCAE) criteria.

4. To compare outcomes between Arms A and B. V. To compare outcomes by treatment arm within subgroups defined by a cutpoint of PD-L1 expression at >= 50%.

BIOMARKER OBJECTIVE:

1. To collect and bank tissue and blood for future research studies, including potential development of a prognostic and predictive signature for MK-3475 (pembrolizumab) in combination with chemotherapy versus MK-3475 (pembrolizumab) alone.

EXPLORATORY IMAGING OBJECTIVES:

1. To collect and bank standard of care computed tomography (CT) imaging at baseline and first three follow-up post-treatment scans for developing the radiomic risk score with the following exploratory objectives:

Ia. Validate the Radiomic Risk score on pre-treatment scans as well as compute differences between pre- and post- treatment scans (delta features) in determining which patients will benefit from first line pembrolizumab in the metastatic setting in both low (< 50%) and high (> 50%) PD-L1 cohorts using patients in Arm 1 and Arm 2 of the trial where pembrolizumab is used as first line treatment.

Ib. To use the Radiomic Risk score in order to predict which patients would benefit from combination pembrolizumab and subsequent chemotherapy vs. immunotherapy alone in both low (< 50%) and high (> 50%) PD-L1 cohorts using patients who went on to receive chemotherapy as second line and stratifying the patients based on those who received benefit from pembrolizumab plus chemotherapy versus (vs.) pembrolizumab alone.

Ic. Exploratory analysis for other radiomic profiles in predicting response.

OUTLINE: Patients are randomized to 1 of 3 arms.

ARM A: Patients receive pembrolizumab intravenously (IV) over 30 minutes on day 1. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Within 6 weeks of disease progression, patients receive pemetrexed IV over 10 minutes and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Patients then may receive pemetrexed IV over 10 minutes on day 1. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity.

ARM B: Patients receive pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Within 6 weeks of disease progression, patients receive pembrolizumab IV over 30 minutes, pemetrexed IV over 10 minutes, and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive pembrolizumab IV over 30 minutes and pemetrexed IV over 10 minutes on day 1. Cycles repeat every 21 days for up to 2 years for pembrolizumab in the absence of disease progression or unacceptable toxicity and until to disease progression for pemetrexed.

ARM C: Patients receive pembrolizumab IV over 30 minutes, pemetrexed IV over 10 minutes, and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive pembrolizumab IV over 30 minutes and pemetrexed IV over 10 minutes on day 1. Cycles repeat every 21 days for up to 2 years for pembrolizumab in the absence of disease progression or unacceptable toxicity and until to disease progression for pemetrexed.

After completion of study treatment, patients are followed up for 5 years.

Study Design

• Study Type: Interventional
• Anticipated Enrollment: 846 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: EA5163/S1709 INSIGNA : A Randomized, Phase III Study of Firstline Immunotherapy Alone or in Combination With Chemotherapy in Induction/Maintenance or Postprogression in Advanced Nonsquamous Non-Small Cell Lung Cancer (NSCLC) With Immunobiomarker SIGNature-Driven Analysis
• Actual Study Start Date: Feb 28, 2019
• Anticipated Primary Completion Date: Sep 30, 2022
• Anticipated Study Completion Date: Sep 30, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Arm A (pembrolizumab, pemetrexed, carboplatin) Patients receive pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Within 6 weeks of disease progression, patients receive pemetrexed IV over 10 minutes and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Patients then may receive pemetrexed IV over 10 minutes on day 1. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity.	Drug: Carboplatin; Given IV; Other Names: Blastocarb Carboplat Carboplatin Hexal Carboplatino Carboplatinum Carbosin Carbosol Carbotec CBDCA Displata Ercar JM-8 Nealorin Novoplatinum Paraplatin Paraplatin AQ Paraplatine Platinwas Ribocarbo ; Biological: Pembrolizumab; Given IV; Other Names: Keytruda Lambrolizumab MK-3475 SCH 900475 ; Drug: Pemetrexed; Given IV; Other Names: MTA Multitargeted Antifolate Pemfexy
Experimental: Arm B (pembrolizumab, pemetrexed, carboplatin) Patients receive pembrolizumab IV over 30 minutes on day 1. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. Within 6 weeks of disease progression, patients receive pembrolizumab IV over 30 minutes, pemetrexed IV over 10 minutes, and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive pembrolizumab IV over 30 minutes and pemetrexed IV over 10 minutes on day 1. Cycles repeat every 21 days for up to 2 years for pembrolizumab in the absence of disease progression or unacceptable toxicity and until to disease progression for pemetrexed.	Drug: Carboplatin; Given IV; Other Names: Blastocarb Carboplat Carboplatin Hexal Carboplatino Carboplatinum Carbosin Carbosol Carbotec CBDCA Displata Ercar JM-8 Nealorin Novoplatinum Paraplatin Paraplatin AQ Paraplatine Platinwas Ribocarbo ; Biological: Pembrolizumab; Given IV; Other Names: Keytruda Lambrolizumab MK-3475 SCH 900475 ; Drug: Pemetrexed; Given IV; Other Names: MTA Multitargeted Antifolate Pemfexy
Active Comparator: Arm C (pembrolizumab, pembrolizumab, carboplatin) Patients receive pembrolizumab IV over 30 minutes, pemetrexed IV over 10 minutes, and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Patients then receive pembrolizumab IV over 30 minutes and pemetrexed IV over 10 minutes on day 1. Cycles repeat every 21 days for up to 2 years for pembrolizumab in the absence of disease progression or unacceptable toxicity and until to disease progression for pemetrexed.	Drug: Carboplatin; Given IV; Other Names: Blastocarb Carboplat Carboplatin Hexal Carboplatino Carboplatinum Carbosin Carbosol Carbotec CBDCA Displata Ercar JM-8 Nealorin Novoplatinum Paraplatin Paraplatin AQ Paraplatine Platinwas Ribocarbo ; Biological: Pembrolizumab; Given IV; Other Names: Keytruda Lambrolizumab MK-3475 SCH 900475 ; Drug: Pemetrexed; Given IV; Other Names: MTA Multitargeted Antifolate Pemfexy

Outcome Measures

Primary Outcome Measures

1. Overall survival (OS) [From randomization to death from any cause, assessed up to 5 years post treatment]

   OS distributions will be estimated using the Kaplan-Meier method.

Secondary Outcome Measures

1. Progression-free survival (PFS) [From randomization to documented disease progression or death from any cause, assessed up to 5 years post treatment]

   PFS distributions will be estimated using the Kaplan-Meier method.

2. Best objective response [Up to 5 years post treatment]

   Best objective response will be evaluated via Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria.

3. Incidence of adverse events [Up to 30 days post treatment]

   Toxicities will be reported via the Common Terminology Criteria for Adverse Events (CTCAE) criteria version 5.0. Toxicity rates between arms in the overall population will be compared using Fisher's exact tests with a one-sided type I error rate of 1.25%; multivariable logistic regression modeling will be used to adjust for the effect of any covariates that are associated with these categorical outcomes.

4. PD-L1 positivity [At baseline]

   PD-L1 positivity will be defined as >= 1% Tumor Proportion Score (TPS) for the purpose of enrollment onto the trial. Strongly PD-L1 positive is defined as >= 50% TPS; weakly positive is defined as 1% - 49% TPS.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Patients must have histologically or cytologically confirmed stage IV non-squamous non-small cell lung cancer (NSCLC) (includes M1a, M1b, and M1c stage disease, American Joint Committee on Cancer [AJCC] 8th edition). Patients with stage IIIB and IIIC disease are eligible if they are not candidates for combined chemotherapy and radiation

• Patients must have PD-L1 expression Tumor Proportion Score (TPS) >= 1% in tumor cells. If PD-L1 expression TPS is unevaluable or the testing could not be completed, the patients are not eligible. The assay must have been performed by a Clinical Laboratory Improvement Act (CLIA) (or equivalent) certified laboratory

• Patients must have measurable or non-measurable disease. The presence of malignant pleural fluid alone is sufficient to satisfy this eligibility criterion. Baseline imaging assessments and measurements used to evaluate all measurable or non-measurable sites of disease must be done within 4 weeks prior to study registration

• NOTE: If patient receives pemetrexed, follow institutional guidelines to drain fluids

• Patients must be >= 18 years of age

• Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1

• Patients with treated brain metastases are eligible if follow-up brain imaging after central nervous system (CNS)-directed therapy shows no evidence of progression. CNS progression counts as progression and patients must move on to the next phase after CNS treatment. Patients with asymptomatic new (at screening) or progressive brain metastases (active brain metastases at screening) or leptomeningeal disease are eligible if the treating physician determines that immediate CNS specific treatment is not required and is unlikely to be required during the first cycle of therapy

• Patients are eligible if off steroids for at least 14 days prior to protocol treatment

• Palliative radiation to non-target lesions (bone metastasis) is allowed if patient develops symptoms

• Anticonvulsants are allowed

• Patients with asymptomatic, sub-centimeter brain metastasis who at the discretion of investigators do not need immediate CNS directed therapies are eligible

• Patients with prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial

• Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better

• Women of childbearing potential and sexually active males must use an accepted and effective method of contraception or abstain from sexual intercourse from time of registration, while on study treatment, and continue for 120 days after the last dose of study treatment

• Absolute neutrophil count (ANC) >= 1500/mm^3 (within 14 days of randomization)

• Platelets >= 100,000/mm^3 (within 14 days of randomization)

• Prothrombin time (PT)/international normalized ratio (INR) =< 1.5 Or if patient on therapeutic anticoagulation, PT/INR =< 3.0 (within 14 days of randomization)

• Partial thromboplastin time (PTT) =< institutional upper limit of normal (ULN) OR, if patient is on therapeutic anticoagulation, PTT must be =< 1.5 x ULN (within 14 days of randomization)

• Total bilirubin =< 1.5 mg/dL (obtained within 14 days of randomization)

• Serum glutamic-oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) < 5 x upper limit of normal (ULN) (obtained within 14 days of randomization)

• Serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) < 5 x upper limit of normal (ULN) (obtained within 14 days of randomization)

• Calculated creatinine clearance >= 45 ml/min to be eligible to receive pemetrexed (obtained within 14 days prior to randomization)

• Serum creatinine =< 1.5 x institutional upper limit of normal (ULN) (obtained within 14 days prior to randomization)

• Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial

• For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable or on suppressive therapy, if indicated. Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load

Exclusion Criteria:

• Patients must NOT have received the following:

• Prior systemic chemotherapy or immunotherapy for advanced metastatic NSCLC. Patients treated with any prior checkpoint inhibitors for metastatic lung cancer are ineligible. Chemotherapy for non-metastatic disease (e.g. adjuvant therapy) or immunotherapy for locally advanced Stage III disease is allowed if at least 6 months have elapsed between the last dose of the prior therapy and study registration. Local therapy, e.g. palliative radiation, is allowed as long as a period of 14 days has passed between completion of local therapy and study registration. Registration prior to treatment during the 14 days is allowed. Palliative radiation must be to non-target lesions

• Methotrexate (MTX) given in low doses for non-malignant conditions with last dose at least 14 days prior to date of registration will be allowed. Other low dose chemotherapeutics for non-malignant conditions will be considered, but review by the study chair is required

• Patients with known EGFR mutations (except exon 20 insertion), BRAF mutations (V600) or ALK or ROS1 translocations that can be treated with oral tyrosine kinase inhibitors are excluded

• Patients must not have known pre-existing and clinically active interstitial lung disease, or a known history of (non infectious) pneumonitis that required steroids, or current pneumonitis

• Patients must not have significant gastrointestinal disorders with diarrhea as a major symptom (e.g. Crohn's disease, malabsorption, etc.)

• Patients must not have history of auto-immune condition requiring ongoing or intermittent systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment

• Patients must not have any other concomitant serious illness or organ system dysfunction that in the opinion of the investigator would either compromise patient safety or interfere with the evaluation of the safety of the study drug

• Patients must not receive any other investigational agents during the course of therapy

• Women must not be pregnant or breast-feeding due to potential harm to the fetus or infant from cytotoxic chemotherapy and the unknown risk of MK-3475 (pembrolizumab). Patients must also not expect to conceive or father children from the time of registration, while on study treatment, and until at least 120 days after the last dose of study treatment

• All females of childbearing potential must have a blood test or urine study within 72 hours prior to registration to rule out pregnancy

• A female of childbearing potential is any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: has achieved menarche at some point; has not undergone a hysterectomy or bilateral oophorectomy; or has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)

• Patients must not have a known history of active tuberculosis (TB)

• Patients must not have a diagnosis of immunodeficiency or receive systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of protocol treatment

• Patients must not have received a live vaccine within 30 days prior to randomization. Seasonal flu vaccines that do not contain live virus are permitted

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of South Alabama Mitchell Cancer Institute	Mobile	Alabama	United States	36688
2	Anchorage Associates in Radiation Medicine	Anchorage	Alaska	United States	98508
3	Anchorage Radiation Therapy Center	Anchorage	Alaska	United States	99504
4	Alaska Breast Care and Surgery LLC	Anchorage	Alaska	United States	99508
5	Alaska Oncology and Hematology LLC	Anchorage	Alaska	United States	99508
6	Alaska Women's Cancer Care	Anchorage	Alaska	United States	99508
7	Anchorage Oncology Centre	Anchorage	Alaska	United States	99508
8	Katmai Oncology Group	Anchorage	Alaska	United States	99508
9	Providence Alaska Medical Center	Anchorage	Alaska	United States	99508
10	Fairbanks Memorial Hospital	Fairbanks	Alaska	United States	99701
11	Kingman Regional Medical Center	Kingman	Arizona	United States	86401
12	Cancer Center at Saint Joseph's	Phoenix	Arizona	United States	85004
13	University of Arizona Cancer Center-Orange Grove Campus	Tucson	Arizona	United States	85704
14	Banner University Medical Center - Tucson	Tucson	Arizona	United States	85719
15	University of Arizona Cancer Center-North Campus	Tucson	Arizona	United States	85719
16	Mercy Hospital Fort Smith	Fort Smith	Arkansas	United States	72903
17	CHI Saint Vincent Cancer Center Hot Springs	Hot Springs	Arkansas	United States	71913
18	NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro	Jonesboro	Arkansas	United States	72401
19	Kaiser Permanente-Anaheim	Anaheim	California	United States	92806
20	Kaiser Permanente-Deer Valley Medical Center	Antioch	California	United States	94531
21	Mission Hope Medical Oncology - Arroyo Grande	Arroyo Grande	California	United States	93420
22	PCR Oncology	Arroyo Grande	California	United States	93420
23	Sutter Auburn Faith Hospital	Auburn	California	United States	95602
24	Sutter Cancer Centers Radiation Oncology Services-Auburn	Auburn	California	United States	95603
25	Kaiser Permanente-Baldwin Park	Baldwin Park	California	United States	91706
26	Kaiser Permanente-Bellflower	Bellflower	California	United States	90706
27	Alta Bates Summit Medical Center-Herrick Campus	Berkeley	California	United States	94704
28	Tower Cancer Research Foundation	Beverly Hills	California	United States	90211
29	Providence Saint Joseph Medical Center/Disney Family Cancer Center	Burbank	California	United States	91505
30	Mills-Peninsula Medical Center	Burlingame	California	United States	94010
31	Sutter Cancer Centers Radiation Oncology Services-Cameron Park	Cameron Park	California	United States	95682
32	Eden Hospital Medical Center	Castro Valley	California	United States	94546
33	Sutter Davis Hospital	Davis	California	United States	95616
34	Kaiser Permanente Dublin	Dublin	California	United States	94568
35	21st Century Oncology - El Segundo	El Segundo	California	United States	90245
36	Kaiser Permanente-Fontana	Fontana	California	United States	92335
37	Kaiser Permanente-Fremont	Fremont	California	United States	94538
38	Palo Alto Medical Foundation-Fremont	Fremont	California	United States	94538
39	Fresno Cancer Center	Fresno	California	United States	93720
40	Kaiser Permanente-Fresno	Fresno	California	United States	93720
41	Kaiser Permanente - Harbor City	Harbor City	California	United States	90710
42	Kaiser Permanente-Irvine	Irvine	California	United States	92618
43	UC San Diego Moores Cancer Center	La Jolla	California	United States	92093
44	Kaiser Permanente Los Angeles Medical Center	Los Angeles	California	United States	90027
45	Kaiser Permanente West Los Angeles	Los Angeles	California	United States	90034
46	Cedars Sinai Medical Center	Los Angeles	California	United States	90048
47	Fremont - Rideout Cancer Center	Marysville	California	United States	95901
48	Memorial Medical Center	Modesto	California	United States	95355
49	Kaiser Permanente-Modesto	Modesto	California	United States	95356
50	Palo Alto Medical Foundation-Camino Division	Mountain View	California	United States	94040
51	Palo Alto Medical Foundation-Gynecologic Oncology	Mountain View	California	United States	94040
52	Kaiser Permanente Oakland-Broadway	Oakland	California	United States	94611
53	Kaiser Permanente-Oakland	Oakland	California	United States	94611
54	Kaiser Permanente-Ontario	Ontario	California	United States	91761
55	Saint Joseph Hospital - Orange	Orange	California	United States	92868
56	Palo Alto Medical Foundation Health Care	Palo Alto	California	United States	94301
57	VA Palo Alto Health Care System	Palo Alto	California	United States	94304
58	Kaiser Permanente - Panorama City	Panorama City	California	United States	91402
59	Kaiser Permanente-Rancho Cordova Cancer Center	Rancho Cordova	California	United States	95670
60	Kaiser Permanente- Marshall Medical Offices	Redwood City	California	United States	94063
61	Kaiser Permanente-Redwood City	Redwood City	California	United States	94063
62	Kaiser Permanente-Richmond	Richmond	California	United States	94801
63	Kaiser Permanente-Riverside	Riverside	California	United States	92505
64	Rohnert Park Cancer Center	Rohnert Park	California	United States	94928
65	Kaiser Permanente-Roseville	Roseville	California	United States	95661
66	Sutter Cancer Centers Radiation Oncology Services-Roseville	Roseville	California	United States	95661
67	Sutter Roseville Medical Center	Roseville	California	United States	95661
68	The Permanente Medical Group-Roseville Radiation Oncology	Roseville	California	United States	95678
69	Kaiser Permanente Downtown Commons	Sacramento	California	United States	95814
70	Sutter Medical Center Sacramento	Sacramento	California	United States	95816
71	University of California Davis Comprehensive Cancer Center	Sacramento	California	United States	95817
72	Kaiser Permanente-South Sacramento	Sacramento	California	United States	95823
73	South Sacramento Cancer Center	Sacramento	California	United States	95823
74	Saint Helena Hospital	Saint Helena	California	United States	94574
75	Kaiser Permanente-San Diego Mission	San Diego	California	United States	92108
76	Kaiser Permanente-San Diego Zion	San Diego	California	United States	92120
77	Zuckerberg San Francisco General Hospital	San Francisco	California	United States	94110
78	California Pacific Medical Center-Pacific Campus	San Francisco	California	United States	94115
79	Kaiser Permanente-San Francisco	San Francisco	California	United States	94115
80	Kaiser Permanente-Santa Teresa-San Jose	San Jose	California	United States	95119
81	Kaiser Permanente San Leandro	San Leandro	California	United States	94577
82	Pacific Central Coast Health Center-San Luis Obispo	San Luis Obispo	California	United States	93401
83	Kaiser Permanente-San Marcos	San Marcos	California	United States	92078
84	Kaiser San Rafael-Gallinas	San Rafael	California	United States	94903
85	Kaiser Permanente Medical Center - Santa Clara	Santa Clara	California	United States	95051
86	Palo Alto Medical Foundation-Santa Cruz	Santa Cruz	California	United States	95065
87	Mission Hope Medical Oncology - Santa Maria	Santa Maria	California	United States	93444
88	Kaiser Permanente-Santa Rosa	Santa Rosa	California	United States	95403
89	Sutter Pacific Medical Foundation	Santa Rosa	California	United States	95403
90	Kaiser Permanente Cancer Treatment Center	South San Francisco	California	United States	94080
91	Kaiser Permanente-South San Francisco	South San Francisco	California	United States	94080
92	Kaiser Permanente-Stockton	Stockton	California	United States	95210
93	Palo Alto Medical Foundation-Sunnyvale	Sunnyvale	California	United States	94086
94	Cedars-Sinai Cancer - Tarzana	Tarzana	California	United States	91356
95	Torrance Memorial Physician Network - Cancer Care	Torrance	California	United States	90505
96	Torrance Memorial Medical Center	Torrance	California	United States	90509
97	Sutter Cancer Centers Radiation Oncology Services-Vacaville	Vacaville	California	United States	95687
98	Kaiser Permanente Medical Center-Vacaville	Vacaville	California	United States	95688
99	Kaiser Permanente-Vallejo	Vallejo	California	United States	94589
100	Sutter Solano Medical Center/Cancer Center	Vallejo	California	United States	94589
101	Kaiser Permanente-Walnut Creek	Walnut Creek	California	United States	94596
102	Kaiser Permanente-Woodland Hills	Woodland Hills	California	United States	91367
103	Rocky Mountain Cancer Centers-Aurora	Aurora	Colorado	United States	80012
104	The Medical Center of Aurora	Aurora	Colorado	United States	80012
105	University of Colorado Hospital	Aurora	Colorado	United States	80045
106	Boulder Community Hospital	Boulder	Colorado	United States	80301
107	Boulder Community Foothills Hospital	Boulder	Colorado	United States	80303
108	Rocky Mountain Cancer Centers-Boulder	Boulder	Colorado	United States	80304
109	Rocky Mountain Cancer Centers - Centennial	Centennial	Colorado	United States	80112
110	Penrose-Saint Francis Healthcare	Colorado Springs	Colorado	United States	80907
111	Rocky Mountain Cancer Centers-Penrose	Colorado Springs	Colorado	United States	80907
112	Saint Francis Cancer Center	Colorado Springs	Colorado	United States	80923
113	Cancer Center of Colorado at Sloan's Lake	Denver	Colorado	United States	80204
114	Kaiser Permanente-Franklin	Denver	Colorado	United States	80205
115	National Jewish Health-Main Campus	Denver	Colorado	United States	80206
116	The Women's Imaging Center	Denver	Colorado	United States	80209
117	Porter Adventist Hospital	Denver	Colorado	United States	80210
118	Colorado Blood Cancer Institute	Denver	Colorado	United States	80218
119	Presbyterian - Saint Lukes Medical Center - Health One	Denver	Colorado	United States	80218
120	Rocky Mountain Cancer Centers-Midtown	Denver	Colorado	United States	80218
121	SCL Health Saint Joseph Hospital	Denver	Colorado	United States	80218
122	Rocky Mountain Cancer Centers-Rose	Denver	Colorado	United States	80220
123	Rose Medical Center	Denver	Colorado	United States	80220
124	Western Surgical Care	Denver	Colorado	United States	80220
125	Mercy Medical Center	Durango	Colorado	United States	81301
126	Southwest Oncology PC	Durango	Colorado	United States	81301
127	Mountain Blue Cancer Care Center - Swedish	Englewood	Colorado	United States	80113
128	Rocky Mountain Cancer Centers - Swedish	Englewood	Colorado	United States	80113
129	Swedish Medical Center	Englewood	Colorado	United States	80113
130	The Melanoma and Skin Cancer Institute	Englewood	Colorado	United States	80113
131	Poudre Valley Hospital	Fort Collins	Colorado	United States	80524
132	Cancer Care and Hematology-Fort Collins	Fort Collins	Colorado	United States	80528
133	Mountain Blue Cancer Care Center	Golden	Colorado	United States	80401
134	National Jewish Health-Western Hematology Oncology	Golden	Colorado	United States	80401
135	Saint Mary's Hospital and Regional Medical Center	Grand Junction	Colorado	United States	81501
136	Grand Valley Oncology	Grand Junction	Colorado	United States	81505
137	North Colorado Medical Center	Greeley	Colorado	United States	80631
138	UCHealth Greeley Hospital	Greeley	Colorado	United States	80631
139	UCHealth Highlands Ranch Hospital	Highlands Ranch	Colorado	United States	80129
140	Good Samaritan Medical Center	Lafayette	Colorado	United States	80026
141	Kaiser Permanente-Rock Creek	Lafayette	Colorado	United States	80026
142	Rocky Mountain Cancer Centers-Lakewood	Lakewood	Colorado	United States	80228
143	Saint Anthony Hospital	Lakewood	Colorado	United States	80228
144	Rocky Mountain Cancer Centers-Littleton	Littleton	Colorado	United States	80120
145	Littleton Adventist Hospital	Littleton	Colorado	United States	80122
146	Kaiser Permanente-Lone Tree	Lone Tree	Colorado	United States	80124
147	Rocky Mountain Cancer Centers-Sky Ridge	Lone Tree	Colorado	United States	80124
148	Sky Ridge Medical Center	Lone Tree	Colorado	United States	80124
149	Longmont United Hospital	Longmont	Colorado	United States	80501
150	Rocky Mountain Cancer Centers-Longmont	Longmont	Colorado	United States	80501
151	Medical Center of the Rockies	Loveland	Colorado	United States	80538
152	McKee Medical Center	Loveland	Colorado	United States	80539
153	Parker Adventist Hospital	Parker	Colorado	United States	80138
154	Rocky Mountain Cancer Centers-Parker	Parker	Colorado	United States	80138
155	Saint Mary Corwin Medical Center	Pueblo	Colorado	United States	81004
156	Rocky Mountain Cancer Centers - Pueblo	Pueblo	Colorado	United States	81008
157	National Jewish Health-Northern Hematology Oncology	Thornton	Colorado	United States	80260
158	Rocky Mountain Cancer Centers-Thornton	Thornton	Colorado	United States	80260
159	SCL Health Lutheran Medical Center	Wheat Ridge	Colorado	United States	80033
160	Smilow Cancer Hospital-Derby Care Center	Derby	Connecticut	United States	06418
161	Smilow Cancer Hospital Care Center-Fairfield	Fairfield	Connecticut	United States	06824
162	Smilow Cancer Hospital Care Center - Guiford	Guilford	Connecticut	United States	06437
163	Smilow Cancer Hospital Care Center at Saint Francis	Hartford	Connecticut	United States	06105
164	Smilow Cancer Center/Yale-New Haven Hospital	New Haven	Connecticut	United States	06510
165	Yale University	New Haven	Connecticut	United States	06520
166	Yale-New Haven Hospital North Haven Medical Center	North Haven	Connecticut	United States	06473
167	Smilow Cancer Hospital-Orange Care Center	Orange	Connecticut	United States	06477
168	Smilow Cancer Hospital Care Center at Long Ridge	Stamford	Connecticut	United States	06902
169	Stamford Hospital/Bennett Cancer Center	Stamford	Connecticut	United States	06904
170	Smilow Cancer Hospital-Torrington Care Center	Torrington	Connecticut	United States	06790
171	Smilow Cancer Hospital Care Center-Trumbull	Trumbull	Connecticut	United States	06611
172	Smilow Cancer Hospital-Waterbury Care Center	Waterbury	Connecticut	United States	06708
173	Smilow Cancer Hospital Care Center - Waterford	Waterford	Connecticut	United States	06385
174	Veterans Affairs Connecticut Healthcare System-West Haven Campus	West Haven	Connecticut	United States	06516
175	Beebe South Coastal Health Campus	Frankford	Delaware	United States	19945
176	Beebe Medical Center	Lewes	Delaware	United States	19958
177	Delaware Clinical and Laboratory Physicians PA	Newark	Delaware	United States	19713
178	Helen F Graham Cancer Center	Newark	Delaware	United States	19713
179	Medical Oncology Hematology Consultants PA	Newark	Delaware	United States	19713
180	Christiana Care Health System-Christiana Hospital	Newark	Delaware	United States	19718
181	Beebe Health Campus	Rehoboth Beach	Delaware	United States	19971
182	TidalHealth Nanticoke / Allen Cancer Center	Seaford	Delaware	United States	19973
183	Christiana Care Health System-Wilmington Hospital	Wilmington	Delaware	United States	19801
184	MedStar Georgetown University Hospital	Washington	District of Columbia	United States	20007
185	Sibley Memorial Hospital	Washington	District of Columbia	United States	20016
186	George Washington University Medical Center	Washington	District of Columbia	United States	20037
187	GenesisCare USA - Aventura FP	Aventura	Florida	United States	33180
188	GenesisCare USA - Aventura	Aventura	Florida	United States	33180
189	Mount Sinai Comprehensive Cancer Center at Aventura	Aventura	Florida	United States	33180
190	GenesisCare USA - Boca Raton FP02	Boca Raton	Florida	United States	33428
191	GenesisCare USA - Boca Ration FP06	Boca Raton	Florida	United States	33431
192	Holy Cross Hospital	Fort Lauderdale	Florida	United States	33308
193	University of Florida Health Science Center - Gainesville	Gainesville	Florida	United States	32610
194	Mayo Clinic in Florida	Jacksonville	Florida	United States	32224-9980
195	GenesisCare USA - Key West	Key West	Florida	United States	33040
196	GenesisCare USA - Lakewood Ranch	Lakewood Ranch	Florida	United States	34202
197	Mount Sinai Medical Center	Miami Beach	Florida	United States	33140
198	GenesisCare USA - Palm Beach Gardens	Palm Beach Gardens	Florida	United States	33410
199	Sacred Heart Hospital	Pensacola	Florida	United States	32504
200	GenesisCare USA - Plantation	Plantation	Florida	United States	33324
201	Moffitt Cancer Center-International Plaza	Tampa	Florida	United States	33607
202	Moffitt Cancer Center - McKinley Campus	Tampa	Florida	United States	33612
203	Moffitt Cancer Center	Tampa	Florida	United States	33612
204	Good Samaritan Medical Center	West Palm Beach	Florida	United States	33401
205	Cleveland Clinic-Weston	Weston	Florida	United States	33331
206	University Cancer and Blood Center LLC	Athens	Georgia	United States	30607
207	Emory University Hospital Midtown	Atlanta	Georgia	United States	30308
208	Emory University Hospital/Winship Cancer Institute	Atlanta	Georgia	United States	30322
209	Emory Saint Joseph's Hospital	Atlanta	Georgia	United States	30342
210	Northside Hospital	Atlanta	Georgia	United States	30342
211	Augusta Oncology Associates PC-D'Antignac	Augusta	Georgia	United States	30901
212	Augusta Oncology Associates PC-Wheeler	Augusta	Georgia	United States	30909
213	Augusta University Medical Center	Augusta	Georgia	United States	30912
214	Northeast Georgia Medical Center Braselton	Braselton	Georgia	United States	30517
215	Atlanta VA Medical Center	Decatur	Georgia	United States	30033
216	Northside Hospital - Duluth	Duluth	Georgia	United States	30096
217	Northeast Georgia Medical Center-Gainesville	Gainesville	Georgia	United States	30501
218	The Longstreet Clinic - Gainesville	Gainesville	Georgia	United States	30501
219	Northside Hospital - Gwinnett	Lawrenceville	Georgia	United States	30046
220	Lewis Cancer and Research Pavilion at Saint Joseph's/Candler	Savannah	Georgia	United States	31405
221	Summit Cancer Care-Candler	Savannah	Georgia	United States	31405
222	Suburban Hematology Oncology Associates - Snellville	Snellville	Georgia	United States	30078
223	Lewis Hall Singletary Oncology Center	Thomasville	Georgia	United States	31792
224	South Georgia Medical Center/Pearlman Cancer Center	Valdosta	Georgia	United States	31602
225	Hawaii Cancer Care - Savio	'Aiea	Hawaii	United States	96701
226	Pali Momi Medical Center	'Aiea	Hawaii	United States	96701
227	Queen's Cancer Center - Pearlridge	'Aiea	Hawaii	United States	96701
228	Straub Pearlridge Clinic	'Aiea	Hawaii	United States	96701
229	The Cancer Center of Hawaii-Pali Momi	'Aiea	Hawaii	United States	96701
230	The Queen's Medical Center - West Oahu	'Ewa Beach	Hawaii	United States	96706
231	Hawaii Cancer Care Inc - Waterfront Plaza	Honolulu	Hawaii	United States	96813
232	Island Urology	Honolulu	Hawaii	United States	96813
233	Queen's Cancer Cenrer - POB I	Honolulu	Hawaii	United States	96813
234	Queen's Medical Center	Honolulu	Hawaii	United States	96813
235	Straub Clinic and Hospital	Honolulu	Hawaii	United States	96813
236	University of Hawaii Cancer Center	Honolulu	Hawaii	United States	96813
237	Hawaii Cancer Care Inc-Liliha	Honolulu	Hawaii	United States	96817
238	Hawaii Diagnostic Radiology Services LLC	Honolulu	Hawaii	United States	96817
239	Kuakini Medical Center	Honolulu	Hawaii	United States	96817
240	Queen's Cancer Center - Kuakini	Honolulu	Hawaii	United States	96817
241	The Cancer Center of Hawaii-Liliha	Honolulu	Hawaii	United States	96817
242	Kaiser Permanente Moanalua Medical Center	Honolulu	Hawaii	United States	96819
243	Kapiolani Medical Center for Women and Children	Honolulu	Hawaii	United States	96826
244	Straub Medical Center - Kahului Clinic	Kahului	Hawaii	United States	96732
245	Castle Medical Center	Kailua	Hawaii	United States	96734
246	Wilcox Memorial Hospital and Kauai Medical Clinic	Lihue	Hawaii	United States	96766
247	Saint Alphonsus Cancer Care Center-Boise	Boise	Idaho	United States	83706
248	Saint Luke's Cancer Institute - Boise	Boise	Idaho	United States	83712
249	Saint Alphonsus Cancer Care Center-Caldwell	Caldwell	Idaho	United States	83605
250	Kootenai Health - Coeur d'Alene	Coeur d'Alene	Idaho	United States	83814
251	Walter Knox Memorial Hospital	Emmett	Idaho	United States	83617
252	Saint Luke's Cancer Institute - Fruitland	Fruitland	Idaho	United States	83619
253	Idaho Urologic Institute-Meridian	Meridian	Idaho	United States	83642
254	Saint Luke's Cancer Institute - Meridian	Meridian	Idaho	United States	83642
255	Saint Alphonsus Medical Center-Nampa	Nampa	Idaho	United States	83686
256	Saint Luke's Cancer Institute - Nampa	Nampa	Idaho	United States	83686
257	Kootenai Clinic Cancer Services - Post Falls	Post Falls	Idaho	United States	83854
258	Kootenai Cancer Clinic	Sandpoint	Idaho	United States	83864
259	Saint Luke's Cancer Institute - Twin Falls	Twin Falls	Idaho	United States	83301
260	Saint Anthony's Health	Alton	Illinois	United States	62002
261	Rush - Copley Medical Center	Aurora	Illinois	United States	60504
262	Advocate Good Shepherd Hospital	Barrington	Illinois	United States	60010
263	Illinois CancerCare-Bloomington	Bloomington	Illinois	United States	61704
264	Loyola Center for Health at Burr Ridge	Burr Ridge	Illinois	United States	60527
265	Illinois CancerCare-Canton	Canton	Illinois	United States	61520
266	Memorial Hospital of Carbondale	Carbondale	Illinois	United States	62902
267	SIH Cancer Institute	Carterville	Illinois	United States	62918
268	Illinois CancerCare-Carthage	Carthage	Illinois	United States	62321
269	Centralia Oncology Clinic	Centralia	Illinois	United States	62801
270	Northwestern University	Chicago	Illinois	United States	60611
271	John H Stroger Jr Hospital of Cook County	Chicago	Illinois	United States	60612
272	Rush University Medical Center	Chicago	Illinois	United States	60612
273	Swedish Covenant Hospital	Chicago	Illinois	United States	60625
274	University of Chicago Comprehensive Cancer Center	Chicago	Illinois	United States	60637
275	Advocate Illinois Masonic Medical Center	Chicago	Illinois	United States	60657
276	AMG Crystal Lake - Oncology	Crystal Lake	Illinois	United States	60014
277	Carle on Vermilion	Danville	Illinois	United States	61832
278	Cancer Care Specialists of Illinois - Decatur	Decatur	Illinois	United States	62526
279	Decatur Memorial Hospital	Decatur	Illinois	United States	62526
280	Illinois CancerCare-Dixon	Dixon	Illinois	United States	61021
281	Advocate Good Samaritan Hospital	Downers Grove	Illinois	United States	60515
282	Carle Physician Group-Effingham	Effingham	Illinois	United States	62401
283	Crossroads Cancer Center	Effingham	Illinois	United States	62401
284	Advocate Sherman Hospital	Elgin	Illinois	United States	60123
285	Elmhurst Memorial Hospital	Elmhurst	Illinois	United States	60126
286	Illinois CancerCare-Eureka	Eureka	Illinois	United States	61530
287	NorthShore University HealthSystem-Evanston Hospital	Evanston	Illinois	United States	60201
288	Freeport Memorial Hospital/Leonard C Ferguson Cancer Center	Freeport	Illinois	United States	61032
289	Illinois CancerCare-Galesburg	Galesburg	Illinois	United States	61401
290	Western Illinois Cancer Treatment Center	Galesburg	Illinois	United States	61401
291	NorthShore University HealthSystem-Glenbrook Hospital	Glenview	Illinois	United States	60026
292	Advocate South Suburban Hospital	Hazel Crest	Illinois	United States	60429
293	NorthShore University HealthSystem-Highland Park Hospital	Highland Park	Illinois	United States	60035
294	Edward Hines Jr VA Hospital	Hines	Illinois	United States	60141
295	AMITA Health Cancer Institute and Outpatient Center	Hinsdale	Illinois	United States	60521
296	Loyola Medicine Homer Glen	Homer Glen	Illinois	United States	60491
297	Duly Health and Care Joliet	Joliet	Illinois	United States	60435
298	Illinois CancerCare-Kewanee Clinic	Kewanee	Illinois	United States	61443
299	Northwestern Medicine Lake Forest Hospital	Lake Forest	Illinois	United States	60045
300	AMG Libertyville - Oncology	Libertyville	Illinois	United States	60048
301	Condell Memorial Hospital	Libertyville	Illinois	United States	60048
302	Illinois CancerCare-Macomb	Macomb	Illinois	United States	61455
303	Carle Physician Group-Mattoon/Charleston	Mattoon	Illinois	United States	61938
304	Loyola University Medical Center	Maywood	Illinois	United States	60153
305	Marjorie Weinberg Cancer Center at Loyola-Gottlieb	Melrose Park	Illinois	United States	60160
306	Good Samaritan Regional Health Center	Mount Vernon	Illinois	United States	62864
307	Edward Hospital/Cancer Center	Naperville	Illinois	United States	60540
308	UC Comprehensive Cancer Center at Silver Cross	New Lenox	Illinois	United States	60451
309	Cancer Care Center of O'Fallon	O'Fallon	Illinois	United States	62269
310	Advocate Christ Medical Center	Oak Lawn	Illinois	United States	60453-2699
311	University of Chicago Medicine-Orland Park	Orland Park	Illinois	United States	60462
312	Illinois CancerCare-Ottawa Clinic	Ottawa	Illinois	United States	61350
313	Advocate Lutheran General Hospital	Park Ridge	Illinois	United States	60068
314	Illinois CancerCare-Pekin	Pekin	Illinois	United States	61554
315	Illinois CancerCare-Peoria	Peoria	Illinois	United States	61615
316	Methodist Medical Center of Illinois	Peoria	Illinois	United States	61636
317	Illinois CancerCare-Peru	Peru	Illinois	United States	61354
318	Valley Radiation Oncology	Peru	Illinois	United States	61354
319	Edward Hospital/Cancer Center?Plainfield	Plainfield	Illinois	United States	60585
320	Illinois CancerCare-Princeton	Princeton	Illinois	United States	61356
321	SwedishAmerican Regional Cancer Center/ACT	Rockford	Illinois	United States	61114
322	Southern Illinois University School of Medicine	Springfield	Illinois	United States	62702
323	Springfield Clinic	Springfield	Illinois	United States	62702
324	Memorial Medical Center	Springfield	Illinois	United States	62781
325	Southwest Illinois Health Services LLP	Swansea	Illinois	United States	62226
326	Carle Cancer Center	Urbana	Illinois	United States	61801
327	The Carle Foundation Hospital	Urbana	Illinois	United States	61801
328	Illinois CancerCare - Washington	Washington	Illinois	United States	61571
329	Rush-Copley Healthcare Center	Yorkville	Illinois	United States	60560
330	Reid Health	Richmond	Indiana	United States	47374
331	Mary Greeley Medical Center	Ames	Iowa	United States	50010
332	McFarland Clinic PC - Ames	Ames	Iowa	United States	50010
333	University of Iowa Healthcare Cancer Services Quad Cities	Bettendorf	Iowa	United States	52722
334	McFarland Clinic PC-Boone	Boone	Iowa	United States	50036
335	Saint Anthony Regional Hospital	Carroll	Iowa	United States	51401
336	Mercy Hospital	Cedar Rapids	Iowa	United States	52403
337	Oncology Associates at Mercy Medical Center	Cedar Rapids	Iowa	United States	52403
338	Medical Oncology and Hematology Associates-West Des Moines	Clive	Iowa	United States	50325
339	Mercy Cancer Center-West Lakes	Clive	Iowa	United States	50325
340	Jennie Edmundson Memorial Hospital	Council Bluffs	Iowa	United States	51502
341	Alegent Health Mercy Hospital	Council Bluffs	Iowa	United States	51503
342	Heartland Oncology and Hematology LLP	Council Bluffs	Iowa	United States	51503
343	Greater Regional Medical Center	Creston	Iowa	United States	50801
344	Iowa Methodist Medical Center	Des Moines	Iowa	United States	50309
345	Medical Oncology and Hematology Associates-Des Moines	Des Moines	Iowa	United States	50309
346	Broadlawns Medical Center	Des Moines	Iowa	United States	50314
347	Medical Oncology and Hematology Associates-Laurel	Des Moines	Iowa	United States	50314
348	Mercy Medical Center - Des Moines	Des Moines	Iowa	United States	50314
349	Iowa Lutheran Hospital	Des Moines	Iowa	United States	50316
350	McFarland Clinic PC-Trinity Cancer Center	Fort Dodge	Iowa	United States	50501
351	Trinity Regional Medical Center	Fort Dodge	Iowa	United States	50501
352	University of Iowa/Holden Comprehensive Cancer Center	Iowa City	Iowa	United States	52242
353	McFarland Clinic PC-Jefferson	Jefferson	Iowa	United States	50129
354	McFarland Clinic PC-Marshalltown	Marshalltown	Iowa	United States	50158
355	Siouxland Regional Cancer Center	Sioux City	Iowa	United States	51101
356	MercyOne Waterloo Medical Center	Waterloo	Iowa	United States	50702
357	Methodist West Hospital	West Des Moines	Iowa	United States	50266-7700
358	Mercy Medical Center-West Lakes	West Des Moines	Iowa	United States	50266
359	Cancer Center of Kansas - Chanute	Chanute	Kansas	United States	66720
360	Coffeyville Regional Medical Center	Coffeyville	Kansas	United States	67337
361	Cancer Center of Kansas - Dodge City	Dodge City	Kansas	United States	67801
362	Cancer Center of Kansas - El Dorado	El Dorado	Kansas	United States	67042
363	University of Kansas Clinical Research Center	Fairway	Kansas	United States	66205
364	Central Care Cancer Center - Garden City	Garden City	Kansas	United States	67846
365	Central Care Cancer Center - Great Bend	Great Bend	Kansas	United States	67530
366	HaysMed University of Kansas Health System	Hays	Kansas	United States	67601
367	Cancer Center of Kansas-Independence	Independence	Kansas	United States	67301
368	University of Kansas Cancer Center-West	Kansas City	Kansas	United States	66112
369	Cancer Center of Kansas-Kingman	Kingman	Kansas	United States	67068
370	Lawrence Memorial Hospital	Lawrence	Kansas	United States	66044
371	Cancer Center of Kansas-Liberal	Liberal	Kansas	United States	67905
372	Cancer Center of Kansas-Manhattan	Manhattan	Kansas	United States	66502
373	Cancer Center of Kansas - McPherson	McPherson	Kansas	United States	67460
374	Cancer Center of Kansas - Newton	Newton	Kansas	United States	67114
375	Olathe Health Cancer Center	Olathe	Kansas	United States	66061
376	University of Kansas Cancer Center-Overland Park	Overland Park	Kansas	United States	66210
377	Saint Luke's South Hospital	Overland Park	Kansas	United States	66213
378	Cancer Center of Kansas - Parsons	Parsons	Kansas	United States	67357
379	Ascension Via Christi - Pittsburg	Pittsburg	Kansas	United States	66762
380	Cancer Center of Kansas - Pratt	Pratt	Kansas	United States	67124
381	Cancer Center of Kansas - Salina	Salina	Kansas	United States	67401
382	Salina Regional Health Center	Salina	Kansas	United States	67401
383	University of Kansas Health System Saint Francis Campus	Topeka	Kansas	United States	66606
384	Cancer Center of Kansas - Wellington	Wellington	Kansas	United States	67152
385	University of Kansas Hospital-Westwood Cancer Center	Westwood	Kansas	United States	66205
386	Cancer Center of Kansas-Wichita Medical Arts Tower	Wichita	Kansas	United States	67208
387	Ascension Via Christi Hospitals Wichita	Wichita	Kansas	United States	67214
388	Cancer Center of Kansas - Wichita	Wichita	Kansas	United States	67214
389	Cancer Center of Kansas - Winfield	Winfield	Kansas	United States	67156
390	Flaget Memorial Hospital	Bardstown	Kentucky	United States	40004
391	Commonwealth Cancer Center-Corbin	Corbin	Kentucky	United States	40701
392	Saint Joseph Radiation Oncology Resource Center	Lexington	Kentucky	United States	40504
393	Saint Joseph Hospital East	Lexington	Kentucky	United States	40509
394	Saint Joseph London	London	Kentucky	United States	40741
395	Jewish Hospital	Louisville	Kentucky	United States	40202
396	Saints Mary and Elizabeth Hospital	Louisville	Kentucky	United States	40215
397	UofL Health Medical Center Northeast	Louisville	Kentucky	United States	40245
398	Jewish Hospital Medical Center South	Shepherdsville	Kentucky	United States	40165
399	Ochsner LSU Health Monroe Medical Center	Monroe	Louisiana	United States	71202
400	Louisiana State University Health Science Center	New Orleans	Louisiana	United States	70112
401	University Medical Center New Orleans	New Orleans	Louisiana	United States	70112
402	Veteran's Administration Medical Center - New Orleans	New Orleans	Louisiana	United States	70112
403	LSU Health Sciences Center at Shreveport	Shreveport	Louisiana	United States	71103
404	Eastern Maine Medical Center	Bangor	Maine	United States	04401
405	Lafayette Family Cancer Center-EMMC	Brewer	Maine	United States	04412
406	Greater Baltimore Medical Center	Baltimore	Maryland	United States	21204
407	MedStar Franklin Square Medical Center/Weinberg Cancer Institute	Baltimore	Maryland	United States	21237
408	MedStar Good Samaritan Hospital	Baltimore	Maryland	United States	21239
409	Johns Hopkins University/Sidney Kimmel Cancer Center	Baltimore	Maryland	United States	21287
410	University of Maryland Shore Medical Center at Easton	Easton	Maryland	United States	21601
411	Beverly Hospital	Beverly	Massachusetts	United States	01915
412	Lahey Hospital and Medical Center	Burlington	Massachusetts	United States	01805
413	Addison Gilbert Hospital	Gloucester	Massachusetts	United States	01930
414	Lowell General Hospital	Lowell	Massachusetts	United States	01854
415	Lahey Medical Center-Peabody	Peabody	Massachusetts	United States	01960
416	Mercy Medical Center	Springfield	Massachusetts	United States	01104
417	Baystate Medical Center	Springfield	Massachusetts	United States	01199
418	Winchester Hospital	Winchester	Massachusetts	United States	01890
419	UMass Memorial Medical Center - University Campus	Worcester	Massachusetts	United States	01655
420	Hickman Cancer Center	Adrian	Michigan	United States	49221
421	Saint Joseph Mercy Hospital	Ann Arbor	Michigan	United States	48106
422	Bronson Battle Creek	Battle Creek	Michigan	United States	49017
423	Saint Joseph Mercy Brighton	Brighton	Michigan	United States	48114
424	Trinity Health IHA Medical Group Hematology Oncology - Brighton	Brighton	Michigan	United States	48114
425	Saint Joseph Mercy Canton	Canton	Michigan	United States	48188
426	Trinity Health IHA Medical Group Hematology Oncology - Canton	Canton	Michigan	United States	48188
427	Caro Cancer Center	Caro	Michigan	United States	48723
428	Saint Joseph Mercy Chelsea	Chelsea	Michigan	United States	48118
429	Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital	Chelsea	Michigan	United States	48118
430	GenesisCare USA - Clarkston	Clarkston	Michigan	United States	48346
431	Hematology Oncology Consultants-Clarkston	Clarkston	Michigan	United States	48346
432	Newland Medical Associates-Clarkston	Clarkston	Michigan	United States	48346
433	Ascension Saint John Hospital	Detroit	Michigan	United States	48236
434	Great Lakes Cancer Management Specialists-Doctors Park	East China Township	Michigan	United States	48054
435	Green Bay Oncology - Escanaba	Escanaba	Michigan	United States	49829
436	GenesisCare USA - Farmington Hills	Farmington Hills	Michigan	United States	48334
437	Genesee Cancer and Blood Disease Treatment Center	Flint	Michigan	United States	48503
438	Genesee Hematology Oncology PC	Flint	Michigan	United States	48503
439	Genesys Hurley Cancer Institute	Flint	Michigan	United States	48503
440	Hurley Medical Center	Flint	Michigan	United States	48503
441	Helen DeVos Children's Hospital at Spectrum Health	Grand Rapids	Michigan	United States	49503
442	Mercy Health Saint Mary's	Grand Rapids	Michigan	United States	49503
443	Spectrum Health at Butterworth Campus	Grand Rapids	Michigan	United States	49503
444	Academic Hematology Oncology Specialists	Grosse Pointe Woods	Michigan	United States	48236
445	Great Lakes Cancer Management Specialists-Van Elslander Cancer Center	Grosse Pointe Woods	Michigan	United States	48236
446	Michigan Breast Specialists-Grosse Pointe Woods	Grosse Pointe Woods	Michigan	United States	48236
447	Bronson Methodist Hospital	Kalamazoo	Michigan	United States	49007
448	West Michigan Cancer Center	Kalamazoo	Michigan	United States	49007
449	Ascension Borgess Cancer Center	Kalamazoo	Michigan	United States	49009
450	Borgess Medical Center	Kalamazoo	Michigan	United States	49048
451	Sparrow Hospital	Lansing	Michigan	United States	48912
452	Hope Cancer Clinic	Livonia	Michigan	United States	48154
453	Trinity Health Saint Mary Mercy Livonia Hospital	Livonia	Michigan	United States	48154
454	GenesisCare USA - Macomb	Macomb	Michigan	United States	48044
455	Great Lakes Cancer Management Specialists-Macomb Medical Campus	Macomb	Michigan	United States	48044
456	Michigan Breast Specialists-Macomb Township	Macomb	Michigan	United States	48044
457	GenesisCare USA - Madison Heights	Madison Heights	Michigan	United States	48071
458	Saint Mary's Oncology/Hematology Associates of Marlette	Marlette	Michigan	United States	48453
459	Toledo Clinic Cancer Centers-Monroe	Monroe	Michigan	United States	48162
460	Mercy Health Mercy Campus	Muskegon	Michigan	United States	49444
461	Lakeland Hospital Niles	Niles	Michigan	United States	49120
462	Cancer and Hematology Centers of Western Michigan - Norton Shores	Norton Shores	Michigan	United States	49444
463	Ascension Providence Hospitals - Novi	Novi	Michigan	United States	48374
464	21st Century Oncology-Pontiac	Pontiac	Michigan	United States	48341
465	Hope Cancer Center	Pontiac	Michigan	United States	48341
466	Newland Medical Associates-Pontiac	Pontiac	Michigan	United States	48341
467	Saint Joseph Mercy Oakland	Pontiac	Michigan	United States	48341
468	Huron Medical Center PC	Port Huron	Michigan	United States	48060
469	Lake Huron Medical Center	Port Huron	Michigan	United States	48060
470	Spectrum Health Reed City Hospital	Reed City	Michigan	United States	49677
471	Great Lakes Cancer Management Specialists-Rochester Hills	Rochester Hills	Michigan	United States	48309
472	Ascension Saint Mary's Hospital	Saginaw	Michigan	United States	48601
473	Oncology Hematology Associates of Saginaw Valley PC	Saginaw	Michigan	United States	48604
474	Lakeland Medical Center Saint Joseph	Saint Joseph	Michigan	United States	49085
475	Marie Yeager Cancer Center	Saint Joseph	Michigan	United States	49085
476	Ascension Providence Hospitals - Southfield	Southfield	Michigan	United States	48075
477	Bhadresh Nayak MD PC-Sterling Heights	Sterling Heights	Michigan	United States	48312
478	Ascension Saint Joseph Hospital	Tawas City	Michigan	United States	48764
479	Munson Medical Center	Traverse City	Michigan	United States	49684
480	GenesisCare USA - Troy	Troy	Michigan	United States	48098
481	Advanced Breast Care Center PLLC	Warren	Michigan	United States	48088
482	Great Lakes Cancer Management Specialists-Macomb Professional Building	Warren	Michigan	United States	48093
483	Macomb Hematology Oncology PC	Warren	Michigan	United States	48093
484	Michigan Breast Specialists-Warren	Warren	Michigan	United States	48093
485	Saint John Macomb-Oakland Hospital	Warren	Michigan	United States	48093
486	Saint Mary's Oncology/Hematology Associates of West Branch	West Branch	Michigan	United States	48661
487	Metro Health Hospital	Wyoming	Michigan	United States	49519
488	Huron Gastroenterology PC	Ypsilanti	Michigan	United States	48106
489	Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus	Ypsilanti	Michigan	United States	48197
490	Riverwood Healthcare Center	Aitkin	Minnesota	United States	56431
491	Mayo Clinic Health System in Albert Lea	Albert Lea	Minnesota	United States	56007
492	Essentia Health - Baxter Clinic	Baxter	Minnesota	United States	56425
493	Sanford Joe Lueken Cancer Center	Bemidji	Minnesota	United States	56601
494	Essentia Health Saint Joseph's Medical Center	Brainerd	Minnesota	United States	56401
495	Fairview Ridges Hospital	Burnsville	Minnesota	United States	55337
496	Minnesota Oncology - Burnsville	Burnsville	Minnesota	United States	55337
497	Cambridge Medical Center	Cambridge	Minnesota	United States	55008
498	Mercy Hospital	Coon Rapids	Minnesota	United States	55433
499	Essentia Health - Deer River Clinic	Deer River	Minnesota	United States	56636
500	Essentia Health Saint Mary's - Detroit Lakes Clinic	Detroit Lakes	Minnesota	United States	56501
501	Essentia Health Cancer Center	Duluth	Minnesota	United States	55805
502	Essentia Health Saint Mary's Medical Center	Duluth	Minnesota	United States	55805
503	Miller-Dwan Hospital	Duluth	Minnesota	United States	55805
504	Fairview Southdale Hospital	Edina	Minnesota	United States	55435
505	Essentia Health - Ely Clinic	Ely	Minnesota	United States	55731
506	Lake Region Healthcare Corporation-Cancer Care	Fergus Falls	Minnesota	United States	56537
507	Essentia Health - Fosston	Fosston	Minnesota	United States	56542
508	Unity Hospital	Fridley	Minnesota	United States	55432
509	Essentia Health Hibbing Clinic	Hibbing	Minnesota	United States	55746
510	Essentia Health - International Falls Clinic	International Falls	Minnesota	United States	56649
511	Mayo Clinic Health Systems-Mankato	Mankato	Minnesota	United States	56001
512	Fairview Clinics and Surgery Center Maple Grove	Maple Grove	Minnesota	United States	55369
513	Minnesota Oncology Hematology PA-Maplewood	Maplewood	Minnesota	United States	55109
514	Saint John's Hospital - Healtheast	Maplewood	Minnesota	United States	55109
515	Abbott-Northwestern Hospital	Minneapolis	Minnesota	United States	55407
516	Hennepin County Medical Center	Minneapolis	Minnesota	United States	55415
517	Minneapolis VA Medical Center	Minneapolis	Minnesota	United States	55417
518	Health Partners Inc	Minneapolis	Minnesota	United States	55454
519	Monticello Cancer Center	Monticello	Minnesota	United States	55362
520	Essentia Health - Moose Lake Clinic	Moose Lake	Minnesota	United States	55767
521	New Ulm Medical Center	New Ulm	Minnesota	United States	56073
522	Essentia Health - Park Rapids	Park Rapids	Minnesota	United States	56470
523	Fairview Northland Medical Center	Princeton	Minnesota	United States	55371
524	North Memorial Medical Health Center	Robbinsdale	Minnesota	United States	55422
525	Mayo Clinic in Rochester	Rochester	Minnesota	United States	55905
526	Park Nicollet Clinic - Saint Louis Park	Saint Louis Park	Minnesota	United States	55416
527	Regions Hospital	Saint Paul	Minnesota	United States	55101
528	United Hospital	Saint Paul	Minnesota	United States	55102
529	Essentia Health Sandstone	Sandstone	Minnesota	United States	55072
530	Saint Francis Regional Medical Center	Shakopee	Minnesota	United States	55379
531	Lakeview Hospital	Stillwater	Minnesota	United States	55082
532	Sanford Thief River Falls Medical Center	Thief River Falls	Minnesota	United States	56701
533	Essentia Health Virginia Clinic	Virginia	Minnesota	United States	55792
534	Ridgeview Medical Center	Waconia	Minnesota	United States	55387
535	Rice Memorial Hospital	Willmar	Minnesota	United States	56201
536	Minnesota Oncology Hematology PA-Woodbury	Woodbury	Minnesota	United States	55125
537	Sanford Cancer Center Worthington	Worthington	Minnesota	United States	56187
538	Fairview Lakes Medical Center	Wyoming	Minnesota	United States	55092
539	Baptist Memorial Hospital and Cancer Center-Golden Triangle	Columbus	Mississippi	United States	39705
540	Baptist Cancer Center-Grenada	Grenada	Mississippi	United States	38901
541	Baptist Memorial Hospital and Cancer Center-Union County	New Albany	Mississippi	United States	38652
542	Baptist Memorial Hospital and Cancer Center-Oxford	Oxford	Mississippi	United States	38655
543	Singing River Hospital	Pascagoula	Mississippi	United States	39581
544	Baptist Memorial Hospital and Cancer Center-Desoto	Southhaven	Mississippi	United States	38671
545	Saint Louis Cancer and Breast Institute-Ballwin	Ballwin	Missouri	United States	63011
546	Central Care Cancer Center - Bolivar	Bolivar	Missouri	United States	65613
547	Parkland Health Center-Bonne Terre	Bonne Terre	Missouri	United States	63628
548	Cox Cancer Center Branson	Branson	Missouri	United States	65616
549	Saint Francis Medical Center	Cape Girardeau	Missouri	United States	63703
550	Southeast Cancer Center	Cape Girardeau	Missouri	United States	63703
551	Saint Luke's Hospital	Chesterfield	Missouri	United States	63017
552	Parkland Health Center - Farmington	Farmington	Missouri	United States	63640
553	Capital Region Southwest Campus	Jefferson City	Missouri	United States	65109
554	Freeman Health System	Joplin	Missouri	United States	64804
555	Mercy Hospital Joplin	Joplin	Missouri	United States	64804
556	Truman Medical Centers	Kansas City	Missouri	United States	64108
557	Saint Luke's Hospital of Kansas City	Kansas City	Missouri	United States	64111
558	The University of Kansas Cancer Center-South	Kansas City	Missouri	United States	64131
559	University of Kansas Cancer Center - North	Kansas City	Missouri	United States	64154
560	University of Kansas Cancer Center - Lee's Summit	Lee's Summit	Missouri	United States	64064
561	Saint Luke's East - Lee's Summit	Lee's Summit	Missouri	United States	64086
562	University of Kansas Cancer Center at North Kansas City Hospital	North Kansas City	Missouri	United States	64116
563	Delbert Day Cancer Institute at PCRMC	Rolla	Missouri	United States	65401
564	Mercy Clinic-Rolla-Cancer and Hematology	Rolla	Missouri	United States	65401
565	Heartland Regional Medical Center	Saint Joseph	Missouri	United States	64506
566	Saint Louis Cancer and Breast Institute-South City	Saint Louis	Missouri	United States	63109
567	Mercy Hospital South	Saint Louis	Missouri	United States	63128
568	Missouri Baptist Medical Center	Saint Louis	Missouri	United States	63131
569	Mercy Hospital Saint Louis	Saint Louis	Missouri	United States	63141
570	Sainte Genevieve County Memorial Hospital	Sainte Genevieve	Missouri	United States	63670
571	Mercy Hospital Springfield	Springfield	Missouri	United States	65804
572	CoxHealth South Hospital	Springfield	Missouri	United States	65807
573	Missouri Baptist Sullivan Hospital	Sullivan	Missouri	United States	63080
574	Missouri Baptist Outpatient Center-Sunset Hills	Sunset Hills	Missouri	United States	63127
575	Mercy Hospital Washington	Washington	Missouri	United States	63090
576	Community Hospital of Anaconda	Anaconda	Montana	United States	59711
577	Billings Clinic Cancer Center	Billings	Montana	United States	59101
578	Saint Vincent Healthcare	Billings	Montana	United States	59101
579	Saint Vincent Frontier Cancer Center	Billings	Montana	United States	59102
580	Bozeman Deaconess Hospital	Bozeman	Montana	United States	59715
581	Saint James Community Hospital and Cancer Treatment Center	Butte	Montana	United States	59701
582	Benefis Healthcare- Sletten Cancer Institute	Great Falls	Montana	United States	59405
583	Great Falls Clinic	Great Falls	Montana	United States	59405
584	Saint Peter's Community Hospital	Helena	Montana	United States	59601
585	Kalispell Regional Medical Center	Kalispell	Montana	United States	59901
586	Saint Patrick Hospital - Community Hospital	Missoula	Montana	United States	59802
587	Community Medical Hospital	Missoula	Montana	United States	59804
588	CHI Health Saint Francis	Grand Island	Nebraska	United States	68803
589	Heartland Hematology and Oncology	Kearney	Nebraska	United States	68845
590	CHI Health Good Samaritan	Kearney	Nebraska	United States	68847
591	Saint Elizabeth Regional Medical Center	Lincoln	Nebraska	United States	68510
592	Nebraska Cancer Specialists/Oncology Hematology West PC - MECC	Omaha	Nebraska	United States	68114
593	Nebraska Methodist Hospital	Omaha	Nebraska	United States	68114
594	Oncology Associates PC	Omaha	Nebraska	United States	68114
595	Alegent Health Immanuel Medical Center	Omaha	Nebraska	United States	68122
596	Hematology and Oncology Consultants PC	Omaha	Nebraska	United States	68122
597	Alegent Health Bergan Mercy Medical Center	Omaha	Nebraska	United States	68124
598	Alegent Health Lakeside Hospital	Omaha	Nebraska	United States	68130
599	Creighton University Medical Center	Omaha	Nebraska	United States	68131
600	Midlands Community Hospital	Papillion	Nebraska	United States	68046
601	Carson Tahoe Regional Medical Center	Carson City	Nevada	United States	89703
602	Cancer and Blood Specialists-Henderson	Henderson	Nevada	United States	89052
603	Comprehensive Cancer Centers of Nevada - Henderson	Henderson	Nevada	United States	89052
604	Comprehensive Cancer Centers of Nevada-Horizon Ridge	Henderson	Nevada	United States	89052
605	Las Vegas Cancer Center-Henderson	Henderson	Nevada	United States	89052
606	OptumCare Cancer Care at Seven Hills	Henderson	Nevada	United States	89052
607	Comprehensive Cancer Centers of Nevada-Southeast Henderson	Henderson	Nevada	United States	89074
608	GenesisCare USA - Henderson	Henderson	Nevada	United States	89074
609	Las Vegas Urology - Green Valley	Henderson	Nevada	United States	89074
610	Las Vegas Urology - Pebble	Henderson	Nevada	United States	89074
611	Urology Specialists of Nevada - Green Valley	Henderson	Nevada	United States	89074
612	Las Vegas Urology - Pecos	Las Vegas	Nevada	United States	89074
613	Desert West Surgery	Las Vegas	Nevada	United States	89102
614	OptumCare Cancer Care at Charleston	Las Vegas	Nevada	United States	89102
615	University Medical Center of Southern Nevada	Las Vegas	Nevada	United States	89102
616	Hope Cancer Care of Nevada	Las Vegas	Nevada	United States	89103
617	Cancer and Blood Specialists-Shadow	Las Vegas	Nevada	United States	89106
618	Radiation Oncology Centers of Nevada Central	Las Vegas	Nevada	United States	89106
619	Urology Specialists of Nevada - Central	Las Vegas	Nevada	United States	89106
620	GenesisCare USA - Las Vegas	Las Vegas	Nevada	United States	89109
621	HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway	Las Vegas	Nevada	United States	89109
622	Sunrise Hospital and Medical Center	Las Vegas	Nevada	United States	89109
623	HealthCare Partners Medical Group Oncology/Hematology-San Martin	Las Vegas	Nevada	United States	89113
624	Las Vegas Prostate Cancer Center	Las Vegas	Nevada	United States	89113
625	Las Vegas Urology - Sunset	Las Vegas	Nevada	United States	89113
626	Urology Specialists of Nevada - Southwest	Las Vegas	Nevada	United States	89113
627	Radiation Oncology Centers of Nevada Southeast	Las Vegas	Nevada	United States	89119
628	Ann M Wierman MD LTD	Las Vegas	Nevada	United States	89128
629	Cancer and Blood Specialists-Tenaya	Las Vegas	Nevada	United States	89128
630	Comprehensive Cancer Centers of Nevada - Northwest	Las Vegas	Nevada	United States	89128
631	GenesisCare USA - Vegas Tenaya	Las Vegas	Nevada	United States	89128
632	HealthCare Partners Medical Group Oncology/Hematology-Tenaya	Las Vegas	Nevada	United States	89128
633	Las Vegas Urology - Cathedral Rock	Las Vegas	Nevada	United States	89128
634	Las Vegas Urology - Smoke Ranch	Las Vegas	Nevada	United States	89128
635	OptumCare Cancer Care at MountainView	Las Vegas	Nevada	United States	89128
636	Urology Specialists of Nevada - Northwest	Las Vegas	Nevada	United States	89128
637	Alliance for Childhood Diseases/Cure 4 the Kids Foundation	Las Vegas	Nevada	United States	89135
638	Comprehensive Cancer Centers of Nevada - Town Center	Las Vegas	Nevada	United States	89144
639	Comprehensive Cancer Centers of Nevada-Summerlin	Las Vegas	Nevada	United States	89144
640	Summerlin Hospital Medical Center	Las Vegas	Nevada	United States	89144
641	Las Vegas Cancer Center-Medical Center	Las Vegas	Nevada	United States	89148-2405
642	Comprehensive Cancer Centers of Nevada	Las Vegas	Nevada	United States	89148
643	GenesisCare USA - Fort Apache	Las Vegas	Nevada	United States	89148
644	OptumCare Cancer Care at Fort Apache	Las Vegas	Nevada	United States	89148
645	HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills	Las Vegas	Nevada	United States	89149
646	Comprehensive Cancer Centers of Nevada - Central Valley	Las Vegas	Nevada	United States	89169
647	University Cancer Center	Las Vegas	Nevada	United States	89169
648	Hope Cancer Care of Nevada-Pahrump	Pahrump	Nevada	United States	89048
649	Renown Regional Medical Center	Reno	Nevada	United States	89502
650	Saint Mary's Regional Medical Center	Reno	Nevada	United States	89503
651	Radiation Oncology Associates	Reno	Nevada	United States	89509
652	New Hampshire Oncology Hematology PA-Concord	Concord	New Hampshire	United States	03301
653	Dartmouth Hitchcock Medical Center	Lebanon	New Hampshire	United States	03756
654	Elliot Hospital	Manchester	New Hampshire	United States	03103
655	Solinsky Center for Cancer Care	Manchester	New Hampshire	United States	03103
656	Morristown Medical Center	Morristown	New Jersey	United States	07960
657	Inspira Medical Center Mullica Hill	Mullica Hill	New Jersey	United States	08062
658	Overlook Hospital	Summit	New Jersey	United States	07902
659	University of New Mexico Cancer Center	Albuquerque	New Mexico	United States	87102
660	Hematology Oncology Associates of Central New York-Auburn	Auburn	New York	United States	13021
661	Montefiore Medical Center-Einstein Campus	Bronx	New York	United States	10461
662	Montefiore Medical Center-Weiler Hospital	Bronx	New York	United States	10461
663	Montefiore Medical Center - Moses Campus	Bronx	New York	United States	10467
664	James J Peters VA Medical Center	Bronx	New York	United States	10468
665	Hematology Oncology Associates of Central New York-East Syracuse	East Syracuse	New York	United States	13057
666	Glens Falls Hospital	Glens Falls	New York	United States	12801
667	Mount Sinai Chelsea	New York	New York	United States	10011
668	Laura and Isaac Perlmutter Cancer Center at NYU Langone	New York	New York	United States	10016
669	Mount Sinai West	New York	New York	United States	10019
670	Mount Sinai Hospital	New York	New York	United States	10029
671	Upstate Cancer Center at Oneida	Oneida	New York	United States	13421
672	Upstate Cancer Center at Oswego	Oswego	New York	United States	13126
673	University of Rochester	Rochester	New York	United States	14642
674	Stony Brook University Medical Center	Stony Brook	New York	United States	11794
675	State University of New York Upstate Medical University	Syracuse	New York	United States	13210
676	Hematology Oncology Associates of Central New York-Onondaga Hill	Syracuse	New York	United States	13215
677	SUNY Upstate Medical Center-Community Campus	Syracuse	New York	United States	13215
678	Atrium Health Stanly/LCI-Albemarle	Albemarle	North Carolina	United States	28002
679	Mission Hospital	Asheville	North Carolina	United States	28801
680	UNC Lineberger Comprehensive Cancer Center	Chapel Hill	North Carolina	United States	27599
681	Carolinas Medical Center/Levine Cancer Institute	Charlotte	North Carolina	United States	28203
682	Atrium Health Pineville/LCI-Pineville	Charlotte	North Carolina	United States	28210
683	Levine Cancer Institute-SouthPark	Charlotte	North Carolina	United States	28211
684	Atrium Health University City/LCI-University	Charlotte	North Carolina	United States	28262
685	Levine Cancer Institute-Ballantyne	Charlotte	North Carolina	United States	28277
686	Southeastern Medical Oncology Center-Clinton	Clinton	North Carolina	United States	28328
687	Atrium Health Cabarrus/LCI-Concord	Concord	North Carolina	United States	28025
688	Durham VA Medical Center	Durham	North Carolina	United States	27705
689	Levine Cancer Institute - Rutherford	Forest City	North Carolina	United States	28043
690	Levine Cancer Institute-Gaston	Gastonia	North Carolina	United States	28054
691	Southeastern Medical Oncology Center-Goldsboro	Goldsboro	North Carolina	United States	27534
692	Margaret R Pardee Memorial Hospital	Hendersonville	North Carolina	United States	28791
693	Southeastern Medical Oncology Center-Jacksonville	Jacksonville	North Carolina	United States	28546
694	Vidant Oncology-Kenansville	Kenansville	North Carolina	United States	28349
695	Vidant Oncology-Kinston	Kinston	North Carolina	United States	28501
696	Atrium Health Lincoln/LCI-Lincolnton	Lincolnton	North Carolina	United States	28092
697	Levine Cancer Institute - Union West	Matthews	North Carolina	United States	28104
698	Atrium Health Union/LCI-Union	Monroe	North Carolina	United States	28112
699	Vidant Oncology-Richlands	Richlands	North Carolina	United States	28574
700	WG Hefner VA Medical Center	Salisbury	North Carolina	United States	28144
701	Atrium Health Cleveland/LCI-Cleveland	Shelby	North Carolina	United States	28150
702	Sanford Bismarck Medical Center	Bismarck	North Dakota	United States	58501
703	Essentia Health Cancer Center-South University Clinic	Fargo	North Dakota	United States	58103
704	Sanford South University Medical Center	Fargo	North Dakota	United States	58103
705	Southpointe-Sanford Medical Center Fargo	Fargo	North Dakota	United States	58103
706	Sanford Medical Center Fargo	Fargo	North Dakota	United States	58104
707	Sanford Broadway Medical Center	Fargo	North Dakota	United States	58122
708	Sanford Roger Maris Cancer Center	Fargo	North Dakota	United States	58122
709	Essentia Health - Jamestown Clinic	Jamestown	North Dakota	United States	58401
710	UHHS-Chagrin Highlands Medical Center	Beachwood	Ohio	United States	44122
711	Indu and Raj Soin Medical Center	Beavercreek	Ohio	United States	45431
712	Strecker Cancer Center-Belpre	Belpre	Ohio	United States	45714
713	Saint Elizabeth Boardman Hospital	Boardman	Ohio	United States	44512
714	Cleveland Clinic Mercy Hospital	Canton	Ohio	United States	44708
715	Mercy Hematology and Oncology Associates Inc	Canton	Ohio	United States	44708
716	Dayton Physicians LLC-Miami Valley South	Centerville	Ohio	United States	45459
717	Miami Valley Hospital South	Centerville	Ohio	United States	45459
718	Geauga Hospital	Chardon	Ohio	United States	44024
719	Adena Regional Medical Center	Chillicothe	Ohio	United States	45601
720	Good Samaritan Hospital - Cincinnati	Cincinnati	Ohio	United States	45220
721	Oncology Hematology Care Inc-Kenwood	Cincinnati	Ohio	United States	45236
722	Bethesda North Hospital	Cincinnati	Ohio	United States	45242
723	TriHealth Cancer Institute-Westside	Cincinnati	Ohio	United States	45247
724	TriHealth Cancer Institute-Anderson	Cincinnati	Ohio	United States	45255
725	Case Western Reserve University	Cleveland	Ohio	United States	44106
726	MetroHealth Medical Center	Cleveland	Ohio	United States	44109
727	Cleveland Clinic Cancer Center/Fairview Hospital	Cleveland	Ohio	United States	44111
728	Cleveland Clinic Foundation	Cleveland	Ohio	United States	44195
729	Ohio State University Comprehensive Cancer Center	Columbus	Ohio	United States	43210
730	Mount Carmel East Hospital	Columbus	Ohio	United States	43213
731	Columbus Oncology and Hematology Associates Inc	Columbus	Ohio	United States	43214
732	Riverside Methodist Hospital	Columbus	Ohio	United States	43214
733	Grant Medical Center	Columbus	Ohio	United States	43215
734	The Mark H Zangmeister Center	Columbus	Ohio	United States	43219
735	Mount Carmel Health Center West	Columbus	Ohio	United States	43222
736	Doctors Hospital	Columbus	Ohio	United States	43228
737	Good Samaritan Hospital - Dayton	Dayton	Ohio	United States	45406
738	Miami Valley Hospital	Dayton	Ohio	United States	45409
739	Dayton Physician LLC-Miami Valley Hospital North	Dayton	Ohio	United States	45415
740	Miami Valley Hospital North	Dayton	Ohio	United States	45415
741	Delaware Health Center-Grady Cancer Center	Delaware	Ohio	United States	43015
742	Grady Memorial Hospital	Delaware	Ohio	United States	43015
743	Columbus Oncology and Hematology Associates	Dublin	Ohio	United States	43016
744	Dublin Methodist Hospital	Dublin	Ohio	United States	43016
745	Mercy Cancer Center-Elyria	Elyria	Ohio	United States	44035
746	Armes Family Cancer Center	Findlay	Ohio	United States	45840
747	Blanchard Valley Hospital	Findlay	Ohio	United States	45840
748	Orion Cancer Care	Findlay	Ohio	United States	45840
749	Atrium Medical Center-Middletown Regional Hospital	Franklin	Ohio	United States	45005-1066
750	Dayton Physicians LLC-Atrium	Franklin	Ohio	United States	45005
751	Central Ohio Breast and Endocrine Surgery	Gahanna	Ohio	United States	43230
752	Dayton Physicians LLC-Wayne	Greenville	Ohio	United States	45331
753	Wayne Hospital	Greenville	Ohio	United States	45331
754	Mount Carmel Grove City Hospital	Grove City	Ohio	United States	43123
755	Cleveland Clinic Cancer Center Independence	Independence	Ohio	United States	44131
756	Greater Dayton Cancer Center	Kettering	Ohio	United States	45409
757	First Dayton Cancer Care	Kettering	Ohio	United States	45420
758	Kettering Medical Center	Kettering	Ohio	United States	45429
759	Fairfield Medical Center	Lancaster	Ohio	United States	43130
760	Saint Rita's Medical Center	Lima	Ohio	United States	45801
761	OhioHealth Mansfield Hospital	Mansfield	Ohio	United States	44903
762	Cleveland Clinic Cancer Center Mansfield	Mansfield	Ohio	United States	44906
763	Marietta Memorial Hospital	Marietta	Ohio	United States	45750
764	OhioHealth Marion General Hospital	Marion	Ohio	United States	43302
765	Hillcrest Hospital Cancer Center	Mayfield Heights	Ohio	United States	44124
766	UH Seidman Cancer Center at Landerbrook Health Center	Mayfield Heights	Ohio	United States	44124
767	UH Seidman Cancer Center at Lake Health Mentor Campus	Mentor	Ohio	United States	44060
768	UH Seidman Cancer Center at Southwest General Hospital	Middleburg Heights	Ohio	United States	44130
769	Knox Community Hospital	Mount Vernon	Ohio	United States	43050
770	Licking Memorial Hospital	Newark	Ohio	United States	43055
771	Newark Radiation Oncology	Newark	Ohio	United States	43055
772	University Hospitals Parma Medical Center	Parma	Ohio	United States	44129
773	Mercy Health Perrysburg Cancer Center	Perrysburg	Ohio	United States	43551
774	Southern Ohio Medical Center	Portsmouth	Ohio	United States	45662
775	University Hospitals Portage Medical Center	Ravenna	Ohio	United States	44266
776	North Coast Cancer Care	Sandusky	Ohio	United States	44870
777	UH Seidman Cancer Center at Firelands Regional Medical Center	Sandusky	Ohio	United States	44870
778	Springfield Regional Cancer Center	Springfield	Ohio	United States	45504
779	Springfield Regional Medical Center	Springfield	Ohio	United States	45505
780	Trinity's Tony Teramana Cancer Center	Steubenville	Ohio	United States	43952
781	Cleveland Clinic Cancer Center Strongsville	Strongsville	Ohio	United States	44136
782	Saint Vincent Mercy Medical Center	Toledo	Ohio	United States	43608
783	Mercy Health - Saint Anne Hospital	Toledo	Ohio	United States	43623
784	Toledo Clinic Cancer Centers-Toledo	Toledo	Ohio	United States	43623
785	Dayton Physicians LLC-Upper Valley	Troy	Ohio	United States	45373
786	Upper Valley Medical Center	Troy	Ohio	United States	45373
787	University Hospitals Sharon Health Center	Wadsworth	Ohio	United States	44281
788	South Pointe Hospital	Warrensville Heights	Ohio	United States	44122
789	Saint Joseph Warren Hospital	Warren	Ohio	United States	44484
790	Saint Ann's Hospital	Westerville	Ohio	United States	43081
791	UH Seidman Cancer Center at Saint John Medical Center	Westlake	Ohio	United States	44145
792	UHHS-Westlake Medical Center	Westlake	Ohio	United States	44145
793	Cleveland Clinic Wooster Family Health and Surgery Center	Wooster	Ohio	United States	44691
794	Wright-Patterson Medical Center	Wright-Patterson Air Force Base	Ohio	United States	45433
795	Saint Elizabeth Youngstown Hospital	Youngstown	Ohio	United States	44501
796	Genesis Healthcare System Cancer Care Center	Zanesville	Ohio	United States	43701
797	University of Oklahoma Health Sciences Center	Oklahoma City	Oklahoma	United States	73104
798	Mercy Hospital Oklahoma City	Oklahoma City	Oklahoma	United States	73120
799	Oklahoma Cancer Specialists and Research Institute-Tulsa	Tulsa	Oklahoma	United States	74146
800	Saint Alphonsus Medical Center-Baker City	Baker City	Oregon	United States	97814
801	Saint Charles Health System	Bend	Oregon	United States	97701
802	Clackamas Radiation Oncology Center	Clackamas	Oregon	United States	97015
803	Providence Cancer Institute Clackamas Clinic	Clackamas	Oregon	United States	97015
804	Bay Area Hospital	Coos Bay	Oregon	United States	97420
805	Providence Newberg Medical Center	Newberg	Oregon	United States	97132
806	Saint Alphonsus Medical Center-Ontario	Ontario	Oregon	United States	97914
807	Providence Portland Medical Center	Portland	Oregon	United States	97213
808	Providence Saint Vincent Medical Center	Portland	Oregon	United States	97225
809	Saint Charles Health System-Redmond	Redmond	Oregon	United States	97756
810	Lehigh Valley Hospital-Cedar Crest	Allentown	Pennsylvania	United States	18103
811	UPMC Altoona	Altoona	Pennsylvania	United States	16601
812	UPMC Cancer Center-Bethel Park	Bethel Park	Pennsylvania	United States	15102
813	Lehigh Valley Hospital - Muhlenberg	Bethlehem	Pennsylvania	United States	18017
814	Bryn Mawr Hospital	Bryn Mawr	Pennsylvania	United States	19010
815	UPMC Camp Hill	Camp Hill	Pennsylvania	United States	17011
816	Carlisle Regional Cancer Center	Carlisle	Pennsylvania	United States	17015
817	Christiana Care Health System-Concord Health Center	Chadds Ford	Pennsylvania	United States	19317
818	Chambersburg Hospital	Chambersburg	Pennsylvania	United States	17201
819	WellSpan Medical Oncology and Hematology	Chambersburg	Pennsylvania	United States	17201
820	Pocono Medical Center	East Stroudsburg	Pennsylvania	United States	18301
821	Ephrata Cancer Center	Ephrata	Pennsylvania	United States	17522
822	Ephrata Community Hospital	Ephrata	Pennsylvania	United States	17522
823	UPMC Hillman Cancer Center Erie	Erie	Pennsylvania	United States	16505
824	Adams Cancer Center	Gettysburg	Pennsylvania	United States	17325
825	UPMC Cancer Centers - Arnold Palmer Pavilion	Greensburg	Pennsylvania	United States	15601
826	Cherry Tree Cancer Center	Hanover	Pennsylvania	United States	17331
827	UPMC Pinnacle Harrisburg	Harrisburg	Pennsylvania	United States	17101
828	UPMC Pinnacle Cancer Center/Community Osteopathic Campus	Harrisburg	Pennsylvania	United States	17109
829	Lehigh Valley Hospital-Hazleton	Hazleton	Pennsylvania	United States	18201
830	Sechler Family Cancer Center	Lebanon	Pennsylvania	United States	17042
831	UPMC Cancer Center at UPMC McKeesport	McKeesport	Pennsylvania	United States	15132
832	UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion	Mechanicsburg	Pennsylvania	United States	17050
833	Riddle Memorial Hospital	Media	Pennsylvania	United States	19063
834	Arnold Palmer Cancer Center Medical Oncology Norwin	N. Huntingdon	Pennsylvania	United States	15642
835	Paoli Memorial Hospital	Paoli	Pennsylvania	United States	19301
836	Fox Chase Cancer Center	Philadelphia	Pennsylvania	United States	19111
837	Temple University Hospital	Philadelphia	Pennsylvania	United States	19140
838	Oncology Hematology Association	Pittsburgh	Pennsylvania	United States	15215
839	UPMC-Mercy Hospital	Pittsburgh	Pennsylvania	United States	15219
840	University of Pittsburgh Cancer Institute (UPCI)	Pittsburgh	Pennsylvania	United States	15232
841	UPMC-Passavant Hospital	Pittsburgh	Pennsylvania	United States	15237
842	UPMC-Saint Clair Hospital Cancer Center	Pittsburgh	Pennsylvania	United States	15243
843	Pottstown Hospital	Pottstown	Pennsylvania	United States	19464
844	UPMC Cancer Center-Washington	Washington	Pennsylvania	United States	15301
845	Lankenau Medical Center	Wynnewood	Pennsylvania	United States	19096
846	Cancer Care Associates of York	York	Pennsylvania	United States	17403
847	WellSpan Health-York Cancer Center	York	Pennsylvania	United States	17403
848	WellSpan Health-York Hospital	York	Pennsylvania	United States	17403
849	UPMC Memorial	York	Pennsylvania	United States	17408
850	Kent Hospital	Warwick	Rhode Island	United States	02886
851	Smilow Cancer Hospital Care Center - Westerly	Westerly	Rhode Island	United States	02891
852	Saint Joseph's/Candler - Bluffton Campus	Bluffton	South Carolina	United States	29910
853	Prisma Health Cancer Institute - Spartanburg	Boiling Springs	South Carolina	United States	29316
854	Ralph H Johnson VA Medical Center	Charleston	South Carolina	United States	29401
855	Prisma Health Richland Hospital	Columbia	South Carolina	United States	29203
856	Gibbs Cancer Center-Gaffney	Gaffney	South Carolina	United States	29341
857	Tidelands Georgetown Memorial Hospital	Georgetown	South Carolina	United States	29440
858	Prisma Health Cancer Institute - Butternut	Greenville	South Carolina	United States	29605
859	Prisma Health Cancer Institute - Faris	Greenville	South Carolina	United States	29605
860	Prisma Health Greenville Memorial Hospital	Greenville	South Carolina	United States	29605
861	Prisma Health Cancer Institute - Eastside	Greenville	South Carolina	United States	29615
862	Self Regional Healthcare	Greenwood	South Carolina	United States	29646
863	Prisma Health Cancer Institute - Greer	Greer	South Carolina	United States	29650
864	Gibbs Cancer Center-Pelham	Greer	South Carolina	United States	29651
865	South Carolina Cancer Specialists PC	Hilton Head Island	South Carolina	United States	29926-3827
866	Carolina Regional Cancer Center	Myrtle Beach	South Carolina	United States	29577
867	Levine Cancer Institute-Rock Hill	Rock Hill	South Carolina	United States	29732
868	Prisma Health Cancer Institute - Seneca	Seneca	South Carolina	United States	29672
869	North Grove Medical Park	Spartanburg	South Carolina	United States	29303
870	Spartanburg Medical Center	Spartanburg	South Carolina	United States	29303
871	Spartanburg Medical Center - Mary Black Campus	Spartanburg	South Carolina	United States	29307
872	MGC Hematology Oncology-Union	Union	South Carolina	United States	29379
873	Rapid City Regional Hospital	Rapid City	South Dakota	United States	57701
874	Sanford Cancer Center Oncology Clinic	Sioux Falls	South Dakota	United States	57104
875	Sanford USD Medical Center - Sioux Falls	Sioux Falls	South Dakota	United States	57117-5134
876	Bristol Regional Medical Center	Bristol	Tennessee	United States	37620
877	Memorial Hospital	Chattanooga	Tennessee	United States	37404
878	Baptist Memorial Hospital and Cancer Center-Collierville	Collierville	Tennessee	United States	38017
879	Vanderbilt-Ingram Cancer Center at Franklin	Franklin	Tennessee	United States	37067
880	Vanderbilt-Ingram Cancer Center Cool Springs	Franklin	Tennessee	United States	37067
881	Pulmonary Medicine Center of Chattanooga-Hixson	Hixson	Tennessee	United States	37343
882	Ballad Health Cancer Care - Kingsport	Kingsport	Tennessee	United States	37660
883	Wellmont Holston Valley Hospital and Medical Center	Kingsport	Tennessee	United States	37660
884	University of Tennessee - Knoxville	Knoxville	Tennessee	United States	37920
885	Baptist Memorial Hospital and Cancer Center-Memphis	Memphis	Tennessee	United States	38120
886	Vanderbilt Breast Center at One Hundred Oaks	Nashville	Tennessee	United States	37204
887	Vanderbilt University/Ingram Cancer Center	Nashville	Tennessee	United States	37232
888	Memorial GYN Plus	Ooltewah	Tennessee	United States	37363
889	Houston Methodist San Jacinto Hospital	Baytown	Texas	United States	77521
890	Saint Joseph Regional Cancer Center	Bryan	Texas	United States	77802
891	Dallas VA Medical Center	Dallas	Texas	United States	75216
892	UT Southwestern/Simmons Cancer Center-Dallas	Dallas	Texas	United States	75390
893	UT Southwestern/Simmons Cancer Center-Fort Worth	Fort Worth	Texas	United States	76104
894	Houston Methodist Hospital	Houston	Texas	United States	77030
895	Methodist Willowbrook Hospital	Houston	Texas	United States	77070
896	Houston Methodist West Hospital	Houston	Texas	United States	77094
897	Houston Methodist Saint John Hospital	Nassau Bay	Texas	United States	77058
898	UT Southwestern Clinical Center at Richardson/Plano	Richardson	Texas	United States	75080
899	Houston Methodist Sugar Land Hospital	Sugar Land	Texas	United States	77479
900	Houston Methodist The Woodlands Hospital	The Woodlands	Texas	United States	77385
901	American Fork Hospital / Huntsman Intermountain Cancer Center	American Fork	Utah	United States	84003
902	Sandra L Maxwell Cancer Center	Cedar City	Utah	United States	84720
903	Logan Regional Hospital	Logan	Utah	United States	84321
904	Intermountain Medical Center	Murray	Utah	United States	84107
905	McKay-Dee Hospital Center	Ogden	Utah	United States	84403
906	Utah Valley Regional Medical Center	Provo	Utah	United States	84604
907	Riverton Hospital	Riverton	Utah	United States	84065
908	Saint George Regional Medical Center	Saint George	Utah	United States	84770
909	Utah Cancer Specialists-Salt Lake City	Salt Lake City	Utah	United States	84106
910	LDS Hospital	Salt Lake City	Utah	United States	84143
911	Central Vermont Medical Center/National Life Cancer Treatment	Berlin	Vermont	United States	05602
912	University of Vermont Medical Center	Burlington	Vermont	United States	05401
913	University of Vermont and State Agricultural College	Burlington	Vermont	United States	05405
914	Wellmont Medical Associates-Bristol	Bristol	Virginia	United States	24201
915	University of Virginia Cancer Center	Charlottesville	Virginia	United States	22908
916	Augusta Health Center for Cancer and Blood Disorders	Fishersville	Virginia	United States	22939
917	Southwest VA Regional Cancer Center	Norton	Virginia	United States	24273
918	Virginia Cancer Institute	Richmond	Virginia	United States	23229
919	VCU Massey Cancer Center at Stony Point	Richmond	Virginia	United States	23235
920	Virginia Commonwealth University/Massey Cancer Center	Richmond	Virginia	United States	23298
921	VCU Community Memorial Health Center	South Hill	Virginia	United States	23970
922	Providence Regional Cancer System-Aberdeen	Aberdeen	Washington	United States	98520
923	MultiCare Auburn Medical Center	Auburn	Washington	United States	98001
924	Overlake Medical Center	Bellevue	Washington	United States	98004
925	PeaceHealth Saint Joseph Medical Center	Bellingham	Washington	United States	98225
926	Harrison HealthPartners Hematology and Oncology-Bremerton	Bremerton	Washington	United States	98310
927	Harrison Medical Center	Bremerton	Washington	United States	98310
928	Highline Medical Center-Main Campus	Burien	Washington	United States	98166
929	Providence Regional Cancer System-Centralia	Centralia	Washington	United States	98531
930	Swedish Cancer Institute-Edmonds	Edmonds	Washington	United States	98026
931	Saint Elizabeth Hospital	Enumclaw	Washington	United States	98022
932	Providence Regional Cancer Partnership	Everett	Washington	United States	98201
933	Saint Francis Hospital	Federal Way	Washington	United States	98003
934	MultiCare Gig Harbor Medical Park	Gig Harbor	Washington	United States	98335
935	Swedish Cancer Institute-Issaquah	Issaquah	Washington	United States	98029
936	Kadlec Clinic Hematology and Oncology	Kennewick	Washington	United States	99336
937	Providence Regional Cancer System-Lacey	Lacey	Washington	United States	98503
938	Saint Clare Hospital	Lakewood	Washington	United States	98499
939	PeaceHealth Saint John Medical Center	Longview	Washington	United States	98632
940	Jefferson Healthcare	Port Townsend	Washington	United States	98368
941	Harrison HealthPartners Hematology and Oncology-Poulsbo	Poulsbo	Washington	United States	98370
942	MultiCare Good Samaritan Hospital	Puyallup	Washington	United States	98372
943	Valley Medical Center	Renton	Washington	United States	98055
944	Pacific Gynecology Specialists	Seattle	Washington	United States	98104
945	Swedish Medical Center-Ballard Campus	Seattle	Washington	United States	98107
946	Kaiser Permanente Washington	Seattle	Washington	United States	98112
947	Swedish Medical Center-First Hill	Seattle	Washington	United States	98122-4307
948	Swedish Medical Center-Cherry Hill	Seattle	Washington	United States	98122-5711
949	PeaceHealth United General Medical Center	Sedro-Woolley	Washington	United States	98284
950	Providence Regional Cancer System-Shelton	Shelton	Washington	United States	98584
951	MultiCare Deaconess Cancer and Blood Specialty Center - Valley	Spokane Valley	Washington	United States	99216
952	MultiCare Deaconess Cancer and Blood Specialty Center - Downtown	Spokane	Washington	United States	99204
953	MultiCare Deaconess Cancer and Blood Specialty Center - North	Spokane	Washington	United States	99218
954	Franciscan Research Center-Northwest Medical Plaza	Tacoma	Washington	United States	98405
955	Mary Bridge Children's Hospital and Health Center	Tacoma	Washington	United States	98405
956	MultiCare Tacoma General Hospital	Tacoma	Washington	United States	98405
957	Northwest Medical Specialties PLLC	Tacoma	Washington	United States	98405
958	PeaceHealth Southwest Medical Center	Vancouver	Washington	United States	98664
959	Providence Saint Mary Regional Cancer Center	Walla Walla	Washington	United States	99362
960	North Star Lodge Cancer Center at Yakima Valley Memorial Hospital	Yakima	Washington	United States	98902
961	Providence Regional Cancer System-Yelm	Yelm	Washington	United States	98597
962	West Virginia University Charleston Division	Charleston	West Virginia	United States	25304
963	Edwards Comprehensive Cancer Center	Huntington	West Virginia	United States	25701
964	Langlade Hospital and Cancer Center	Antigo	Wisconsin	United States	54409
965	Ascension Saint Elizabeth Hospital	Appleton	Wisconsin	United States	54915
966	Duluth Clinic Ashland	Ashland	Wisconsin	United States	54806
967	Northwest Wisconsin Cancer Center	Ashland	Wisconsin	United States	54806
968	SSM Health Dean Medical Group - Baraboo	Baraboo	Wisconsin	United States	53913
969	Ascension Southeast Wisconsin Hospital - Elmbrook Campus	Brookfield	Wisconsin	United States	53045
970	Aurora Cancer Care-Southern Lakes VLCC	Burlington	Wisconsin	United States	53105
971	Ascension Calumet Hospital	Chilton	Wisconsin	United States	53014
972	Aurora Saint Luke's South Shore	Cudahy	Wisconsin	United States	53110
973	HSHS Sacred Heart Hospital	Eau Claire	Wisconsin	United States	54701
974	Marshfield Medical Center-EC Cancer Center	Eau Claire	Wisconsin	United States	54701
975	Mayo Clinic Health System-Eau Claire Clinic	Eau Claire	Wisconsin	United States	54701
976	Mayo Clinic Health System Eau Claire Hospital-Luther Campus	Eau Claire	Wisconsin	United States	54703
977	Aurora Health Center-Fond du Lac	Fond Du Lac	Wisconsin	United States	54937
978	Ascension Saint Francis - Reiman Cancer Center	Franklin	Wisconsin	United States	53132
979	Aurora Health Care Germantown Health Center	Germantown	Wisconsin	United States	53022
980	Aurora Cancer Care-Grafton	Grafton	Wisconsin	United States	53024
981	Saint Vincent Hospital Cancer Center Green Bay	Green Bay	Wisconsin	United States	54301
982	Saint Vincent Hospital Cancer Center at Saint Mary's	Green Bay	Wisconsin	United States	54303
983	Aurora BayCare Medical Center	Green Bay	Wisconsin	United States	54311
984	Essentia Health-Hayward Clinic	Hayward	Wisconsin	United States	54843
985	SSM Health Dean Medical Group - Janesville	Janesville	Wisconsin	United States	53546
986	Mercyhealth Hospital and Cancer Center - Janesville	Janesville	Wisconsin	United States	53548
987	Aurora Cancer Care-Kenosha South	Kenosha	Wisconsin	United States	53142
988	Gundersen Lutheran Medical Center	La Crosse	Wisconsin	United States	54601
989	Mayo Clinic Health System-Franciscan Healthcare	La Crosse	Wisconsin	United States	54601
990	Dean Hematology and Oncology Clinic	Madison	Wisconsin	United States	53717
991	University of Wisconsin Carbone Cancer Center	Madison	Wisconsin	United States	53792
992	Holy Family Memorial Hospital	Manitowoc	Wisconsin	United States	54221
993	Aurora Bay Area Medical Group-Marinette	Marinette	Wisconsin	United States	54143
994	Saint Vincent Hospital Cancer Center at Marinette	Marinette	Wisconsin	United States	54143
995	Marshfield Medical Center-Marshfield	Marshfield	Wisconsin	United States	54449
996	Aspirus Medford Hospital	Medford	Wisconsin	United States	54451
997	Ascension Columbia Saint Mary's Hospital Ozaukee	Mequon	Wisconsin	United States	53097
998	Aurora Cancer Care-Milwaukee	Milwaukee	Wisconsin	United States	53209
999	Ascension Columbia Saint Mary's Hospital - Milwaukee	Milwaukee	Wisconsin	United States	53211
1000	Aurora Saint Luke's Medical Center	Milwaukee	Wisconsin	United States	53215
1001	Aurora Sinai Medical Center	Milwaukee	Wisconsin	United States	53233
1002	Marshfield Clinic-Minocqua Center	Minocqua	Wisconsin	United States	54548
1003	ProHealth D N Greenwald Center	Mukwonago	Wisconsin	United States	53149
1004	Cancer Center of Western Wisconsin	New Richmond	Wisconsin	United States	54017
1005	ProHealth Oconomowoc Memorial Hospital	Oconomowoc	Wisconsin	United States	53066
1006	Saint Vincent Hospital Cancer Center at Oconto Falls	Oconto Falls	Wisconsin	United States	54154
1007	Ascension Mercy Hospital	Oshkosh	Wisconsin	United States	54904
1008	Vince Lombardi Cancer Clinic - Oshkosh	Oshkosh	Wisconsin	United States	54904
1009	Ascension All Saints Hospital	Racine	Wisconsin	United States	53405
1010	Aurora Cancer Care-Racine	Racine	Wisconsin	United States	53406
1011	Ascension Saint Mary's Hospital	Rhinelander	Wisconsin	United States	54501
1012	Marshfield Medical Center-Rice Lake	Rice Lake	Wisconsin	United States	54868
1013	HSHS Saint Nicholas Hospital	Sheboygan	Wisconsin	United States	53081
1014	Vince Lombardi Cancer Clinic-Sheboygan	Sheboygan	Wisconsin	United States	53081
1015	Essentia Health-Spooner Clinic	Spooner	Wisconsin	United States	54801
1016	Ascension Saint Michael's Hospital	Stevens Point	Wisconsin	United States	54481
1017	Marshfield Medical Center-River Region at Stevens Point	Stevens Point	Wisconsin	United States	54482
1018	Saint Vincent Hospital Cancer Center at Sturgeon Bay	Sturgeon Bay	Wisconsin	United States	54235-1495
1019	Aurora Medical Center in Summit	Summit	Wisconsin	United States	53066
1020	Essentia Health Saint Mary's Hospital - Superior	Superior	Wisconsin	United States	54880
1021	Vince Lombardi Cancer Clinic-Two Rivers	Two Rivers	Wisconsin	United States	54241
1022	ProHealth Waukesha Memorial Hospital	Waukesha	Wisconsin	United States	53188
1023	UW Cancer Center at ProHealth Care	Waukesha	Wisconsin	United States	53188
1024	Aspirus Regional Cancer Center	Wausau	Wisconsin	United States	54401
1025	Ascension Medical Group Southeast Wisconsin - Mayfair Road	Wauwatosa	Wisconsin	United States	53226
1026	Aurora Cancer Care-Milwaukee West	Wauwatosa	Wisconsin	United States	53226
1027	Aurora West Allis Medical Center	West Allis	Wisconsin	United States	53227
1028	Marshfield Medical Center - Weston	Weston	Wisconsin	United States	54476
1029	Aspirus Cancer Care - Wisconsin Rapids	Wisconsin Rapids	Wisconsin	United States	54494
1030	Cheyenne Regional Medical Center-West	Cheyenne	Wyoming	United States	82001
1031	Billings Clinic-Cody	Cody	Wyoming	United States	82414
1032	Welch Cancer Center	Sheridan	Wyoming	United States	82801
1033	Tom Baker Cancer Centre	Calgary	Alberta	Canada	T2N 4N2
1034	Cross Cancer Institute	Edmonton	Alberta	Canada	T6G 1Z2
1035	BCCA-Fraser Valley Cancer Centre	Surrey	British Columbia	Canada	V3V 1Z2
1036	BCCA-Vancouver Cancer Centre	Vancouver	British Columbia	Canada	V5Z 4E6
1037	Atlantic Health Sciences Corporation-Saint John Regional Hospital	Saint John	New Brunswick	Canada	E2L 4L2
1038	Kingston Health Sciences Centre	Kingston	Ontario	Canada	K7L 2V7
1039	Niagara Health System-Saint Catharines General	Saint Catharines	Ontario	Canada	L2S 0A9
1040	Thunder Bay Regional Health Science Centre	Thunder Bay	Ontario	Canada	P7B 6V4
1041	University Health Network-Princess Margaret Hospital	Toronto	Ontario	Canada	M5G 2M9
1042	PEI Cancer Treatment Centre-Queen Elizabeth Hospital	Charlottetown	Prince Edward Island	Canada	C1A 8T5
1043	The Research Institute of the McGill University Health Centre (MUHC)	Montreal	Quebec	Canada	H3H 2R9
1044	CHA Hopital L'Enfant-Jesus	Quebec City	Quebec	Canada	G1J 1Z4
1045	FHP Health Center-Guam	Tamuning		Guam	96913

Sponsors and Collaborators

• National Cancer Institute (NCI)

Investigators

• Principal Investigator: Hossein Borghaei, ECOG-ACRIN Cancer Research Group

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: National Cancer Institute (NCI)
• ClinicalTrials.gov Identifier: NCT03793179
• Other Study ID Numbers: NCI-2018-03695; NCI-2018-03695; EA5163; EA5163; U10CA180820
• First Posted: Jan 4, 2019
• Last Update Posted: Aug 25, 2022
• Last Verified: Jun 1, 2022

• Individual Participant Data (IPD) Sharing Statement: Yes
• Plan to Share IPD: Yes
• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No
• Additional relevant MeSH terms: Lung Neoplasms; Carboplatin; Pembrolizumab; Pemetrexed

Study Results

No Results Posted as of Aug 25, 2022