Friday, December 28, 2007

Part II

Department of Health and Human Services Centers for Medicare & Medicaid Services Medicare and Medicaid Programs; Quarterly Listing of Program Issuances— July Through September 2007; Notice

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DEPARTMENT OF HEALTH AND FOR FURTHER INFORMATION CONTACT: It is Cardiology-National Cardiovascular HUMAN SERVICES possible that an interested party may Data Registry sites in Addendum IX may need specific information and not be be addressed to JoAnna Baldwin, MS, Centers for Medicare & Medicaid able to determine from the listed Office of Clinical Standards and Services information whether the issuance or Quality, Centers for Medicare & [CMS–9042–N] regulation would fulfill that need. Medicaid Services, C1–09–06, 7500 Consequently, we are providing contact Security Boulevard, Baltimore, MD Medicare and Medicaid Programs; persons to answer general questions 21244–1850, or you can call (410) 786– Quarterly Listing of Program concerning these items. Copies are not 7205. Issuances—July Through September available through the contact persons. Questions concerning Medicare’s 2007 (See Section III of this notice for how to active coverage-related guidance obtain listed material.) documents in Addendum X may be AGENCY: Centers for Medicare & Questions concerning CMS manual addressed to Janet Brock, Office of Medicaid Services (CMS), HHS. instructions in Addendum III may be Clinical Standards and Quality, Centers ACTION: Notice. addressed to Timothy Jennings, Office for Medicare & Medicaid Services, C1– of Strategic Operations and Regulatory 09–06, 7500 Security Boulevard, SUMMARY: This notice lists CMS manual Affairs, Centers for Medicare & Baltimore, MD 21244–1850, or you can instructions, substantive and Medicaid Services, C4–26–05, 7500 call (410) 786–2700. interpretive regulations, and other Security Boulevard, Baltimore, MD Questions concerning one-time Federal Register notices that were 21244–1850, or you can call (410) 786– notices regarding national coverage published from July 2007 through 2134. provisions in Addendum XI may be September 2007, relating to the Questions concerning regulation addressed to Ellie Lund, Office of Medicare and Medicaid programs. This documents published in the Federal Clinical Standards and Quality, Centers notice provides information on national Register in Addendum IV may be for Medicare & Medicaid Services, C1– coverage determinations (NCDs) addressed to Gwendolyn Johnson, 09–06, 7500 Security Boulevard, affecting specific medical and health Office of Strategic Operations and Baltimore, MD 21244–1850, or you can care services under Medicare. Regulatory Affairs, Centers for Medicare call (410) 786–2281. Additionally, this notice identifies & Medicaid Services, C4–14–03, 7500 Questions concerning National certain devices with investigational Security Boulevard, Baltimore, MD Oncologic Positron Emission device exemption (IDE) numbers 21244–1850, or you can call (410) 786– Tomography Registry sites in approved by the Food and Drug 6954. Addendum XII may be addressed to Administration (FDA) that potentially Questions concerning Medicare NCDs Stuart Caplan, RN, MAS, Office of may be covered under Medicare. This in Addendum V may be addressed to Clinical Standards and Quality, Centers notice also includes listings of all Patricia Brocato-Simons, Office of for Medicare & Medicaid Services, C1– approval numbers from the Office of Clinical Standards and Quality, Centers 09–06, 7500 Security Boulevard, Management and Budget for collections for Medicare & Medicaid Services, C1– Baltimore, MD 21244–1850, or you can of information in CMS regulations and 09–06, 7500 Security Boulevard, call (410) 786–8564. a list of Medicare-approved carotid stent Baltimore, MD 21244–1850, or you can Questions concerning Medicare- facilities. Included in this notice is a list call (410) 786–0261. approved ventricular assist device of the American College of Cardiology’s Questions concerning FDA-approved (destination therapy) facilities in National Cardiovascular Data registry Category B IDE numbers listed in Addendum XIII may be addressed to sites, active CMS coverage-related Addendum VI may be addressed to John JoAnna Baldwin, MS, Office of Clinical guidance documents, and special one- Manlove, Office of Clinical Standards Standards and Quality, Centers for time notices regarding national coverage and Quality, Centers for Medicare & Medicare & Medicaid Services, C1–09– provisions. Also included in this notice Medicaid Services, C1–13–04, 7500 06, 7500 Security Boulevard, Baltimore, is a list of National Oncologic Positron Security Boulevard, Baltimore, MD MD 21244–1850, or you can call (410) Emissions Tomography Registry sites, a 21244–1850, or you can call (410) 786– 786–7205. list of Medicare-approved ventricular 6877. Questions concerning Medicare- assist device (destination therapy) Questions concerning approval approved lung volume reduction facilities, a list of Medicare-approved numbers for collections of information surgery facilities listed in Addendum lung volume reduction surgery facilities, in Addendum VII may be addressed to XIV may be addressed to JoAnna a list of Medicare-approved clinical Melissa Musotto, Office of Strategic Baldwin, MS, Office of Clinical trials for fluorodeoxyglucose positron Operations and Regulatory Affairs, Standards and Quality, Centers for emissions tomogrogphy for dementia, Regulations Development and Issuances Medicare & Medicaid Services, C1–09– and a list of Medicare-approved Group, Centers for Medicare & Medicaid 06, 7500 Security Boulevard, Baltimore, bariatric surgery facilities. Services, C5–14–03, 7500 Security MD 21244–1850, or you can call (410) Section 1871(c) of the Social Security Boulevard, Baltimore, MD 21244–1850, 786–7205. Act requires that we publish a list of or you can call (410) 786–6962. Questions concerning Medicare- Medicare issuances in the Federal Questions concerning Medicare- approved bariatric surgery facilities Register at least every 3 months. approved carotid stent facilities in listed in Addendum XV may be Although we are not mandated to do so Addendum VIII may be addressed to addressed to Kate Tillman, RN, MA, by statute, for the sake of completeness Sarah J. McClain, Office of Clinical Office of Clinical Standards and of the listing, and to foster more open Standards and Quality, Centers for Quality, Centers for Medicare & and transparent collaboration efforts, we Medicare & Medicaid Services, C1–09– Medicaid Services, C1–09–06, 7500 are also including all Medicaid 06, 7500 Security Boulevard, Baltimore, Security Boulevard, Baltimore, MD issuances and Medicare and Medicaid MD 21244–1850, or you can call (410) 21244–1850, or you can call (410) 786– substantive and interpretive regulations 786–2994. 9252. (proposed and final) published during Questions concerning Medicare’s Questions concerning this 3-month time frame. recognition of the American College of fluorodeoxyglucose positron emission

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tomography for dementia trials listed in II. How To Use the Addenda using the IDE numbers the FDA assigns. Addendum XVI may be addressed to This notice is organized so that a The listings are organized according to Stuart Caplan, RN, MAS, Office of reader may review the subjects of the categories to which the device Clinical Standards and Quality, Centers manual issuances, memoranda, numbers are assigned (that is, Category for Medicare & Medicaid Services, C1– substantive and interpretive regulations, A or Category B), and identified by the 09–06, 7500 Security Boulevard, IDE number. NCDs, and FDA-approved IDEs • Baltimore, MD 21244–1850, or you can published during the subject quarter to Addendum VII includes listings of call (410) 786–8564. determine whether any are of particular all approval numbers from the Office of Management and Budget (OMB) for Questions concerning all other interest. We expect this notice to be used in concert with previously collections of information in CMS information may be addressed to regulations in title 42; title 45, Gwendolyn Johnson, Office of Strategic published notices. Those unfamiliar with a description of our Medicare subchapter C; and title 20 of the CFR. Operations and Regulatory Affairs, • Addendum VIII includes listings of manuals may wish to review Table I of Regulations Development Group, Medicare-approved carotid stent Centers for Medicare & Medicaid our first three notices (53 FR 21730, 53 FR 36891, and 53 FR 50577) published facilities. All facilities listed meet CMS Services, C5–14–03, 7500 Security standards for performing carotid artery Boulevard, Baltimore, MD 21244–1850, in 1988, and the notice published March 31, 1993 (58 FR 16837). Those desiring stenting for high risk patients. or you can call (410) 786–6954. • Addendum IX includes a list of the information on the Medicare NCD American College of Cardiology’s SUPPLEMENTARY INFORMATION: Manual (NCDM, formerly the Medicare National Cardiovascular Data registry Coverage Issues Manual (CIM)) may sites. We cover implantable cardioverter I. Program Issuances wish to review the August 21, 1989, defibrillators (ICDs) for certain publication (54 FR 34555). Those The Centers for Medicare & Medicaid indications, as long as information interested in the revised process used in Services (CMS) is responsible for about the procedures is reported to a making NCDs under the Medicare administering the Medicare and central registry. Medicaid programs. These programs pay program may review the September 26, • Addendum X includes a list of for health care and related services for 2003, publication (68 FR 55634). active CMS guidance documents. As To aid the reader, we have organized 39 million Medicare beneficiaries and required by section 731 of the Medicare and divided this current listing into 11 35 million Medicaid recipients. Prescription Drug, Improvement, and Administration of the two programs addenda: • Addendum I lists the publication Modernization Act of 2003 (MMA) (Pub. involves (1) furnishing information to dates of the most recent quarterly L. 108–173, enacted on December 8, Medicare beneficiaries and Medicaid listings of program issuances. 2003), we will begin listing the current recipients, health care providers, and • Addendum II identifies previous versions of our guidance documents in the public and (2) maintaining effective each quarterly listings notice. Federal Register documents that • communications with regional offices, contain a description of all previously Addendum XI includes a list of State governments, State Medicaid published CMS Medicare and Medicaid special one-time notices regarding agencies, State survey agencies, various manuals and memoranda. national coverage provisions. We are providers of health care, all Medicare • Addendum III lists a unique CMS publishing a list of issues that require contractors that process claims and pay transmittal number for each instruction public notification, such as a particular bills, and others. To implement the in our manuals or Program Memoranda clinical trial or research study that various statutes on which the programs qualifies for Medicare coverage. and its subject matter. A transmittal may • are based, we issue regulations under consist of a single or multiple Addendum XII includes a listing of the authority granted to the Secretary of instruction(s). Often, it is necessary to National Oncologic Positron Emission the Department of Health and Human use information in a transmittal in Tomography Registry (NOPR) sites. We Services under sections 1102, 1871, conjunction with information currently cover positron emission tomography 1902, and related provisions of the in the manuals. (PET) scans for particular oncologic Social Security Act (the Act). We also • Addendum IV lists all substantive indications when they are performed in a facility that participates in the NOPR. issue various manuals, memoranda, and and interpretive Medicare and Medicaid • statements necessary to administer the regulations and general notices Addendum XIII includes a listing of programs efficiently. published in the Federal Register Medicare-approved facitilites that receive coverage for ventricular assist Section 1871(c)(1) of the Act requires during the quarter covered by this notice. For each item, we list the— devices used as destination therapy. All that we publish a list of all Medicare Æ facilities were required to meet our manual instructions, interpretive rules, Date published; Æ Federal Register citation; standards in order to receive coverage statements of policy, and guidelines of Æ Parts of the Code of Federal for ventricular assist devices implanted general applicability not issued as Regulations (CFR) that have changed (if as destination therapy. • regulations at least every 3 months in applicable); Addendum XIV includes a listing of the Federal Register. We published our Æ Agency file code number; and Medicare-approved facilities that are first notice June 9, 1988 (53 FR 21730). Æ Title of the regulation. eligible to receive coverage for lung Although we are not mandated to do so • Addendum V includes completed volume reduction surgery. Until May by statute, for the sake of completeness NCDs, or reconsiderations of completed 17, 2007, facilities that participated in of the listing of operational and policy NCDs, from the quarter covered by this the National Emphysema Treatment statements, and to foster more open and notice. Completed decisions are Trial are also eligible to receive transparent collaboration, we are identified by the section of the NCDM coverage. continuing our practice of including in which the decision appears, the title, • Addendum XV includes a listing of Medicare substantive and interpretive the date the publication was issued, and Medicare-approved facilities that meet regulations (proposed and final) the effective date of the decision. minimum standards for facilities published during the respective 3- • Addendum VI includes listings of modeled in part on professional society month time frame. the FDA-approved IDE categorizations, statements on competency. All facilities

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must meet our standards in order to swais.gpoaccess.gov, then log in as guest IV. How To Review Listed Material receive coverage for bariatric surgery (no password required). Dial-in users Transmittals or Program Memoranda procedures. should use communications software • can be reviewed at a local Federal Addendum XVI includes a listing of and modem to call (202) 512–1661; type Depository Library (FDL). Under the Medicare-approved clinical trials for swais, then log in as guest (no password FDL program, government publications fluorodeoxyglucose positron emission required). are sent to approximately 1,400 tomography (FDG–PET) for dementia C. Rulings designated libraries throughout the and neurodegenerative diseases. United States. Some FDLs may have We publish rulings on an infrequent arrangements to transfer material to a III. How To Obtain Listed Material basis. CMS Rulings are decisions of the local library not designated as an FDL. Administrator that serve as precedent A. Manuals Contact any library to locate the nearest final opinions and orders and Those wishing to subscribe to FDL. statements of policy and interpretation. program manuals should contact either In addition, individuals may contact They provide clarification and the Government Printing Office (GPO) regional depository libraries that receive interpretation of complex or ambiguous or the National Technical Information and retain at least one copy of most provisions of the law or regulations Service (NTIS) at the following Federal Government publications, either relating to Medicare, Medicaid, addresses: in printed or microfilm form, for use by Utilization and Quality Control Peer the general public. These libraries Superintendent of Documents, Review, private health insurance, and provide reference services and Government Printing Office, ATTN: related matters. Interested individuals interlibrary loans; however, they are not New Orders, P.O. Box 371954, can obtain copies from the nearest CMS sales outlets. Individuals may obtain Pittsburgh, PA 15250–7954, Regional Office or review them at the information about the location of the Telephone (202) 512–1800, Fax nearest regional depository library. We nearest regional depository library from number (202) 512–2250 (for credit have, on occasion, published rulings in any library. card orders); or the Federal Register. Rulings, beginning National Technical Information Service, For each CMS publication listed in with those released in 1995, are Department of Commerce, 5825 Port Addendum III, CMS publication and available online, through the CMS Royal Road, Springfield, VA 22161, transmittal numbers are shown. To help Home Page. The Internet address is Telephone (703) 487–4630. FDLs locate the materials, use the CMS http://cms.hhs.gov/rulings. In addition, individual manual publication and transmittal numbers. transmittals and Program Memoranda D. CMS’ Compact Disk—Read Only For example, to find the Medicare listed in this notice can be purchased Memory (CD–ROM) Benefit Policy publication titled from NTIS. Interested parties should Our laws, regulations, and manuals ‘‘Ultrasound Diagnostic Procedures,’’ identify the transmittal(s) they want. are also available on CD–ROM and may use CMS–Pub. 100–03, Transmittal No. GPO or NTIS can give complete details be purchased from GPO or NTIS on a 72. on how to obtain the publications they subscription or single copy basis. The (Catalog of Federal Domestic Assistance sell. Additionally, most manuals are Superintendent of Documents list ID is Program No. 93.773, Medicare—Hospital available at the following Internet HCLRM, and the stock number is 717– Insurance, Program No. 93.774, Medicare— address: http://cms.hhs.gov/manuals/ 139–00000–3. The following material is Supplementary Medical Insurance Program, default.asp. on the CD–ROM disk: and Program No. 93.714, Medical Assistance • Program) B. Regulations and Notices Titles XI, XVIII, and XIX of the Act. • CMS-related regulations. Dated: December 10, 2007. Regulations and notices are published • CMS manuals and monthly Jacquelyn Y. White, in the daily Federal Register. Interested revisions. Director, Office of Strategic Operations and individuals may purchase individual • CMS program memoranda. Regulatory Affairs. copies or subscribe to the Federal The titles of the Compilation of the Register by contacting the GPO at the Social Security Laws are current as of Addendum I address given above. When ordering January 1, 2005. (Updated titles of the This addendum lists the publication dates individual copies, it is necessary to cite Social Security Laws are available on of the most recent quarterly listings of either the date of publication or the the Internet at http://www.ssa.gov/ program issuances. volume number and page number. OP_Home/ssact/comp-toc.htm.) The September 23, 2005 (70 FR 55863) The Federal Register is also available remaining portions of CD–ROM are December 23, 2005 (70 FR 76290) on 24x microfiche and as an online updated on a monthly basis. March 24, 2006 (71 FR 14903) database through GPO Access. The Because of complaints about the June 23, 2006 (71 FR 36101) September 29, 2006 (71 FR 57604) online database is updated by 6 a.m. unreadability of the Appendices December 22, 2006 (71 FR 77202) each day the Federal Register is (Interpretive Guidelines) in the State March 30, 2007 (72 FR 15282) published. The database includes both Operations Manual (SOM), as of March June 22, 2007 (72 FR 34508) text and graphics from Volume 59, 1995, we deleted these appendices from September 28, 2007 (72 FR 55282) Number 1 (January 2, 1994) forward. CD–ROM. We intend to re-visit this Free public access is available on a issue in the near future and, with the Addendum II—Description of Manuals, Wide Area Information Server (WAIS) aid of newer technology, we may again Memoranda, and CMS Rulings through the Internet and via be able to include the appendices on An extensive descriptive listing of asynchronous dial-in. Internet users can CD–ROM. Medicare manuals and memoranda was access the database by using the World Any cost report forms incorporated in published on June 9, 1988, at 53 FR Wide Web; the Superintendent of the manuals are included on the CD– 21730 and supplemented on September Documents home page address is ROM disk as LOTUS files. LOTUS 22, 1988, at 53 FR 36891 and December http://www.gpoaccess.gov/fr/ software is needed to view the reports 16, 1988, at 53 FR 50577. Also, a index.html, by using local WAIS client once the files have been copied to a complete description of the former CIM software, or by telnet to personal computer disk. (now the NCDM) was published on

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August 21, 1989, at 54 FR 34555. A brief maintain was published on October 16, description of the various Medicaid 1992, at 57 FR 47468. manuals and memoranda that we

ADDENDUM III—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS JULY THROUGH SEPTEMBER 2007

Transmittal No. Manual/Subject/Publication Number

Medicare General Information (CMS-Pub. 100–01)

45 ...... Cancellation of Data File Extract in CR 3801. 46 ...... Implement New Contractor ID for Single Testing Contractor; Standard System Testing Requirements for Maintainers, Beta Testers, and Contractors. 47 ...... Revision to Certification for Hospital Services Covered by the Supplementary Medical Insurance Program as it Pertains to Ambulance Services. Certification for Hospital Services Covered by the Supplementary Medical Insurance Program.

Medicare Benefit Policy (CMS-Pub. 100–02)

75 ...... Nurse Practitioner Services and Clinical Nurse Specialist Services Qualifications for NPs; Qualifications for CNSs. 76 ...... This Transmittal is rescinded and replaced by Transmittal 77. 77 ...... Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. 78 ...... Unlabeled Use for Anti-Cancer Drugs: Medical Literature Used to Determine Medically Accepted Indications for Drugs and Biologicals Used in Anti-Cancer Treatment; Unlabeled Use for Anti-Cancer Drugs.

Medicare National Coverage Determination (CMS-Pub. 100–03)

72 ...... Ultrasound Diagnostic Procedures. 73 ...... This Transmittal is rescinded and replaced by Transmittal 76. 74 ...... Medicare Clinical Trial Policy; Routine Costs in Clinical Trials (Effective July 9, 2007). 75 ...... Lumbar Artificial Disc Replacement. 76 ...... Ultrasound Diagnostic Procedure. 77 ...... Percutaneous Transluminal Angioplasty.

Medicare Claims Processing (CMS-Pub. 100–04)

1281 ...... Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. 1282 ...... Medicare Contractors Use of the Coordination of Benefits Agreement Problem Inquiry Request Form To Identify and Send Coordination of Benefits Agreement Related Issues to the Coordination of Benefits Contractor Consolidation of the Claims Crossover Process. 1283 ...... National Provider Identifier Required to Enroll in Electronic Data Interchange; Update of Telecommunication and Trans- mission Protocols for Electronic Data; Interchange and Deletion of Obsolete Reference to Medicaid Subrogation Claims; Electronic Data Interchange Enrollment; New Enrollments and Maintenance of Existing Enrollments; Telecommunication and Transmission Protocols. 1284 ...... Chapter 24 Update and EFT Format Standardization Electronic Funds Transfer; Identification of Those Providers to be Reviewed. 1285 ...... Renal Dialysis Facility Line Item Billing Requirement for Epoetin Alfa Submitted on End-Stage Renal Disease Claims; Re- quired Information for In-Facility Claims Paid Under the Composite Rate; Epoetin Alfa Facility Billing Requirements; Payment Amount for Epoetin Alfa; Self Administered EPO Supply; Darbepoetin Alfa (Aranesp) Facility Billing Require- ments. 1286 ...... Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. 1287 ...... Instructions for Downloading the Medicare ZIP Code Files—January 2008. 1288 ...... Update to the Place of Service Code Set To Add a Code for Prison/Correctional Facility—VMS Only. 1289 ...... Additional Common Working File Editing for Skilled Nursing Facility Consolidated Billing; A/B Crossover Edits; Edit for Ambulance Services; Edit for Clinical Social Workers. 1290 ...... Clarification of Skilled Nursing Facility Billing Requirements for Beneficiaries Enrolled in Medicare Advantage Plans; Medi- care Billing Requirements for Beneficiaries Enrolled in Medicare Advantage Plans. 1291 ...... Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. 1292 ...... Payment for Hospice Care Based on Location Where Care is Furnished. 1293 ...... This Transmittal is rescinded and will not be replaced at this time. 1294 ...... Revision of the Fiscal Intermediary Standard System to Forward Payment Ambulatory Payment Classification to the Com- mon Working File. 1295 ...... Laboratory and Radiology: Adjustment to Common Working File Duplicate Claim Edit for the Technical Component of Ra- diology and Pathology Laboratory Services Provided to Hospital Patients. 1296 ...... Modifications to the National Coordination of Benefits Agreement Crossover Process; Consolidated Claims Crossover Process; Consolidation of the Claims Crossover Process; Coordination of Benefits Agreement Detailed Error Report Notification Process; Coordination of Benefits Agreement Full Claim File Repair Process. 1297 ...... Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. 1298 ...... Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction 1299 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction 1300 Healthcare Provider Taxonomy Codes Update October 2007 1301 ...... Revised Information on Positron Emission Tomography Scan Coding; Appropriate CPT Codes Effective for Positron Emis- sion Tomography Scans for Services Performed on or After January 28, 2005; Tracer Codes Required for Positron Emission Tomography Scans; Medicare Summary Notice; Remittance Advice Message. 1302 ...... Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. 1303 ...... Modification of Part B Flat File for Electronic Remittance Advice—Transaction 835.

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ADDENDUM III—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS JULY THROUGH SEPTEMBER 2007—Continued

Transmittal No. Manual/Subject/Publication Number

1304 ...... Reporting of Additional Data to Describe Services on Hospice Claims; Levels of Care; Data Required on Claim to Fiscal Intermediary. 1305 ...... Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. 1306 ...... Medicare Part A Skilled Nursing Facility Prospective Payment System Pricer Update for FY 2008. 1307 ...... Modification to the National Monitoring Policy for Erythropoietic Stimulating Agents for End-Stage Renal Disease Patients Treated in Renal Dialysis Facilities; Epoetin Alfa; Darbepoetin Alfa (Aranesp) for End-Stage Renal Disease patients. 1308 ...... Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. 1309 ...... Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. 1310 ...... Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction. 1311 ...... Capturing Days on Which Medicare Beneficiaries are Entitled to Medicare; Advantage in the Medicare/Supplemental Se- curity Income Fraction; Additional Payment Amounts for Hospitals with Disproportionate Share of Low-Income Patients; Low Income Patient Adjustment: The Supplemental Security; Income/Medicare Beneficiary Data for Inpatient Rehabilita- tion Facilities Paid Under the Prospective Payment System. 1312 ...... Timeliness Standards for Processing Other-Than-Clean Claims. 1313 ...... Response to Competitive Acquisition for Part B Drugs and Biologicals Claims When the Common Working File 69XD Error Code is Received; Submission of Claims With the Modifier JW, ‘‘Drug Amount Discarded/Not Administered to Any Patient’’. 1314 ...... Claim Status Category Code and Claim Status Code Update. 1315 ...... Clarification of Percutaneous Transluminal Angioplasty Billing Requirements Issued in CR 3811; Carotid Artery Stenting With Embolic Protection Coverage. 1316 ...... This Transmittal is rescinded and replaced by Transmittal 1324. 1317 ...... 2008 Annual Update of Healthcare Common Procedure Coding System Codes for Skilled Nursing Facility; Consolidated Billing for the Common Working File Medicare Carriers and Fiscal Intermediaries. 1318 ...... This Transmittal is rescinded and replaced by Transmittal 1333. 1319 ...... Date of Service for Laboratory Specimens. 1320 ...... 2008 Annual Update for the Health Professional Shortage Area Bonus Payment. 1321 ...... Sunset of the Physician Scarcity Bonus Payment; Billing and Payment in a Physician Scarcity Area; Zip Code Files; Phy- sician Rendering Anesthesia in a Hospital Outpatient Setting; Billing and Payment in a Physician Scarcity Area. 1322 ...... Indian Health Service Hospital Payment Rates for Calendar Year 2007. 1323 ...... Inpatient Rehabilitation Facility Annual Update: Prospective Payment System Pricer Changes for FY 2008. 1324 ...... Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service; General Payment for Anesthesiology Services. 1325 ...... Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. 1326 ...... Update to the 2007 Medicare Physician Fee Schedule Database. 1327 ...... Schedule for Completing the Calendar Year (CY) 2008 Fee Schedule Updates and the Participating Physician Enrollment Process—(For Informational Purposes Only). 1328 ...... Delete References to Reporting of the National Provider Identifier on or after May 23, 2007, and Revise References to a ‘‘When Required’’ Date Carrier Data Element Requirements; Conditional Data Element Requirements for Carriers and DMERCs; Carrier Specific Requirements for Certain Specialties/Services. 1329 ...... Modification to the Timeliness Requirements for Contractors Forwarding Reconsideration Requests Submitted to the Wrong Contractor Filing a Request for a Reconsideration. 1330 ...... Quarterly Update to Correct Coding Initiative Edits, Version 13.3, Effective October 1, 2007. 1331 ...... Issued to a specific audience. Not posted to Internet/Intranet due to Confidentiality of Instruction. 1332 ...... Transitioning the Mandatory Medigap (‘‘Claim-Based’’) Crossover Process to the Coordination of Benefits Contractor; Claims Crossover Disposition Indicators; Coordination of Benefits Agreement (COBA) Medigap Claim-Based Crossover Process; Completion of the Claim Form; Form CMS–1500 (ANSI X12N 837 Coordination of Benefits (version 4010)). 1333 ...... Ambulance: New Remark Code for Denying Separately Billed Services General Coverage and Payment Policies. 1334 ...... October 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files. 1335 ...... Updating the Internet Only Manual to Include Language or National Provider; Identifier When Required; Payment Under Reciprocal Billing Arrangements—Claims Submitted to Carriers; Physicians Payment Under Locum Tenens Arrange- ments—Claims Submitted to Carriers; Billing Procedures for Entities Qualified To Receive Payment on Basis of Reas- signment—for Carrier Processed Claims; Billing Procedures for Entities Qualified To Receive Payment on Basis of Re- assignment—for Carrier Processed Claims; Carrier Participation and Billing Limitations. 1336 ...... October 2007 Update of the Hospital Outpatient Prospective Payment System; Summary of Payment Policy Changes; Billing for Devices Eligible for Transitional Pass-Through Payments and Items Classified in ‘‘New Technology’’ APCs; Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital OPPS; Roles of Hospitals, Manufacturers, and CMS in Billing for Transitional Pass-Through Items; Devices Eligible for Transi- tional Pass-Through Payments; General Coding and Billing Instructions and Explanations; Services Eligible for New Technology Ambulatory Payment Class Assignment and Payments. 1337 ...... Revisions to 9-Digit ZIP Code List Provided in Change Request 5208. 1338 ...... Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instruction. 1339 ...... Magnetic Resonance Imaging Procedures. 1340 ...... Lumbar Artificial Disc Replacement; General; Carrier Billing Requirements; Fiscal Billing Requirements; Reasons for De- nial and Medicare Summary Notice Claim Adjustment Reason; Code Messages and Remittance Advice Remark Code; Advanced Beneficiary Notice and Hospital Issued Notice of Noncoverage Information. 1341 ...... New Web Site for Approved Transplant Centers; Billing Transplant Services; Kidney Transplants—General; Billing for Kid- ney Transplants and Acquisition Services; Heart Transplants; Liver Transplants; Billing for Liver Transplants and Acqui- sition Services; Pancreas Transplants Kidney Transplants; Pancreas Transplant Alone; Intestinal and Multi-Visceral Transplants; Renal Transplantation and Related Services. 1342 ...... October 2007 Integrated Outpatient Code Editor (I/OCE) Specifications Version 8.3.

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ADDENDUM III—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS JULY THROUGH SEPTEMBER 2007—Continued

Transmittal No. Manual/Subject/Publication Number

1343 ...... Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance; Advice; Background; Remittance Balancing; Medicare Standard Electronic PC Print Software for Institutional Providers; Part A (A/B Macs/FIs/RHHIs) SPR Format; Part B (A/B Mac/Carrier/DMERC/DME MAC) SPR Format; Part A (A/B MAC/FI/RHHI) SPR Crosswalk to the 835; 22/ 50/50.4/Part B (A/B Mac/Carrier/DMERC/DME MAC) SPR Crosswalk to the 835. 1344 ...... Reasonable Charge Update for 2008 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses. 1345 ...... Remittance Advice Remark Code and Claim Adjustment Reason Code Update. 1346 ...... New Waived Tests. 1347 ...... MSN Message: Revised 38.13; General Information; Seccio´n De Informacio´n General.

Medicare Secondary Payer (CMS-Pub. 100–05)

00 ...... None.

Medicare Financial Management (CMS-Pub. 100–06)

126 ...... Manual Revision Re: Medicare Summary Notice Workload Reporting; Body of Report; Part C—Miscellaneous Claims Data. 127 ...... Instructions for Documenting Scoping Decision of Provider’s Internal Controls; Revisions to Continuing Education and Training and Revision Regarding Time Frame for Settling Cost Reports; Tests of Internal Control; Qualifications; Final Settlement of the Cost Report. 128 ...... Revisions to Instructions On Chapter 1—Budget Preparation—Intermediaries and Carriers and Chapter 2—Budget Execu- tion of the Medicare Financial Management (CMS Pub. 100–06); List of Acronyms; Budget Preparation Check List for Program Management and Medicare Integrity Program; Instructions for Using the System for Tracking Audit and Reim- bursement Servicing Contractor; Transmittal and Due Dates; Exhibit of Variances Analysis; Variance Analysis; Trans- mittal and Due Dates; Budget Execution Checklist for Program Management and Medicare Integrity Program. 129 ...... Notice of New Interest Rate for Medicare Overpayments and Underpayments—4th Quarter FY 2007. 130 ...... Revisions of the CROWD Report; Monthly Statistical Report on Intermediary and Carrier Part A and Part B Appeals Activ- ity Form (CMS–2592); General; Section I—Redeterminations; Section II—Qualified Independent Contractor Reconsider- ations; Section III—Administrative Law Judge Results; Section IV—Medicare Appeals Council Effectuations; Clerical Error Reopenings; Validation of Reports. 131 ...... Participating Physicians Report—Deletion of Requirement to Forward a Memorandum to CMS Detailing Adjustments to Form F Column 1 (PAR Prior) (from previous enrollment period).

Medicare State Operations Manual (CMS-Pub. 100–07)

26 ...... Revised Appendix P and Appendix PP—New Tag F373. 27 ...... Revisions to Appendix PP—Guidance to Surveyors for Long Term Care Facilities. 28 ...... Revisions to Appendix D—Guidance to Surveyors for Portable X-ray.

Medicare Program Integrity (CMS-Pub. 100–08)

215 ...... Implementation of Durable Medical Equipment Medicare Administrative Contractor Access to Viable Information Proc- essing Systems Medicare Shared System; Medical Review Functions at DME MACs. 216 ...... Implementation of New Compliance Standards for Independent Diagnostic Testing Facilities; Independent Diagnostic Testing Facility Attachment; Independent Diagnostic Testing Facility Standards; Multi-State Independent Diagnostic Testing Facility Entities; Interpreting Physician; Technicians; Supervising Physicians; Desk and Site Reviews; Special Procedures and Supplier Types. 217 ...... Provider Enrollment Fraud Detection Program for High Risk Areas; Submission of Proposed Implementation Plan for High Risk Areas. 218 ...... Provider Enrollment Manual Update; Introduction to Provider Enrollment; Definitions; CMS–855 Medicare Enrollment Ap- plications; Timeframes for Initial Applications; Timeframes for Changes of Information; General Timeliness Principles; Returning the Application; Basic Information (Section 1 of the CMS–855); Employer Identification Numbers and Legal Business Names; Licenses and Certifications; Correspondence Address; Accreditation; Section 2 of the CMS–855A; Section 2 of the CMS–855B; Section 2 of the CMS–855I; Adverse Legal Actions/Convictions; Practice Location Infor- mation; Section 4 of the CMS–855A; Section 4 of the CMS–855B; Section 4 of the CMS–855I; Contact Person; Home Health Agencies; Provider Enrollment Inquiries. 219 ...... Nurse Practitioner Services and Clinical Nurse Specialist Services. 220 ...... Various Medical Review Clarifications; Annual MR Strategy; Verifying Potential Error and Setting Priorities; Overview of Prepayment and Postpayment Review for Medical Review Purposes; Documentation Specifications for Areas Selected for Prepayment or Postpayment Medical Review; Medical Review Denial Notices; Automated Prepayment Re- view;Postpayment Review of Claims for Medical Review Purposes; Provider Notification and Feedback; Provider Types and Subtypes; Medicare Integrity Program CERT (Activity Code 21901). 221 ...... Administrative Appeals for Provider Enrollment Administrative Appeals. 222 ...... Discontinuance of the Unique Physician Identification Number Registry.

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ADDENDUM III—MEDICARE AND MEDICAID MANUAL INSTRUCTIONS JULY THROUGH SEPTEMBER 2007—Continued

Transmittal No. Manual/Subject/Publication Number

Provider Notification and Feedback Medicare Contractor Beneficiary and Provider Communications (CMS-Pub. 100–09)

20 ...... Institute Of Medicine Pub. 100–09, Chapter 3—Provider Inquiries and Chapter 6—Provider Customer Service Program Updates; Availability of Telephone Services; Automated Services—Interactive Voice Response; Toll Free Network Serv- ices; Publication of Toll Free Numbers; Call Handling Requirements; Customer Service Assessment and Management System Reporting Requirements; CSR Qualifications; Staff Development and Training; Fraud and Abuse; Performance Improvements Provider Contact Center User Group; Performance Improvements; Contractor Guidelines for High Quality Responses to Telephone Inquiries; Quality Call Monitoring Program; Quality Call Monitoring Calibration; Quality Call Monitoring Performance Standards; Written Inquiries; Contractor Guidelines for High Quality Responses to Written In- quiries; Quality Written Correspondence Monitoring Program; Quality Written Correspondence Monitoring Calibration; Quality Written Correspondence Monitoring Performance Standards; Walk-In Inquiries; Guidelines for High Quality Walk-In Service; Surveys; Customer Service Operations Surveys; Provider Satisfaction Surveys; Contractor Activities Related to the Medicare Provider Satisfaction Survey; Provider Inquiry Reporting Standardization; Provider Transaction Access Number; Inquiry Types;Telephone Inquiries; Contractor Discretion Concerning Interactive Voice Response Infor- mation; Written Inquiries; Special Inquiry Topics; Overlapping Claims; Pending Claims; Requests for Information Avail- able on the Interactive Voice Response; Requests for Information Available on the Remittance Advice Notice; De- ceased Beneficiaries; Disclosure Desk Reference for Provider Contact Centers; Authentication of Provider Elements for Customer Service Representative Inquiries; Authentication of Provider Elements for Interactive Voice Response Inquir- ies; Authentication of Provider Elements for Written Inquiries; Authentication of Beneficiary Elements; POE Goals; Error Rate Reduction Data; Error Rate Reduction Plan; Refunds/Credits for Cancellation of Events; Availability Requirements; Quality Call Monitoring Program; Telephone Responses; Quality Written Correspondence Monitoring Program; Complex Beneficiary Inquiries; Interactive Voice Response System; Call Completion; Average Speed of Answer; Quality Call Monitoring Performance Standards; Quality Written Correspondence Monitoring Performance Standards; General In- quiries Timeliness; Customer Service Assessment and Management System Reporting Requirements; Provider Trans- action Access Number; Inquiry Types; Telephone Inquiries; Contractor Discretion Concerning Interactive Voice Re- sponse Information; Written Inquiries; Special Inquiry Topics; Pending Claims; Requests for Information Available on the Interactive Voice Response; Requests for Information Available on the Remittance Advice Notice; Deceased Bene- ficiaries; Disclosure Desk Reference for Provider Contact Centers; Authentication of Provider Elements for Interactive Voice Response Inquiries; Authentication of Provider Elements for Written Inquiries; Authentication of Beneficiary Ele- ments; Inquiry Standardized Categories.

Medicare Managed Care (CMS-Pub. 100–16)

88 ...... Revisions to Chapter 13, ‘‘Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (collectively referred to as Medicare Health Plans)’’; Definition of Terms/Grievance; Responsibilities of the Medicare Health Plan; Procedures for Handling a Grievance; Organization Determinations; Written Notification by Medicare Health Plan of Its Own Decision; Representatives Filing Appeals for Enrollees; Authority of a Representative; Notice Delivery to Representatives; How the Medicare Health Plan Processes Requests for Expedited Reconsiderations; Forwarding Adverse Reconsiderations to the Independent Review Entity; QIO Expedited Reviews of Coverage Terminations in Certain Provider Settings (SNF, HHA, and CORF); Notice of Medicare Non-Coverage; Meaning of Valid Delivery; Authority of a QIO to Request En- rollee Records; Determination of Amount in Controversy; Judicial Review; Requesting Immediate Quality Improvement Organization Review of Inpatient Hospital Care; Data; Reporting Unit for Appeal and Grievance Data Collection Re- quirements; Data Collection and Reporting Periods; New Reporting Periods Start Every 6 Months; Maintaining Data; Appeal and Grievance Data Collection Requirements; Quality of Care Grievance Data; Beneficiary Appeals and Quality of Care Grievances Explanatory Data Report.

Medicare Business Partners Systems Security (CMS-Pub. 100–17)

00 ...... None.

Demonstrations (CMS-Pub. 100–19)

00 ...... None.

One Time Notification (CMS-Pub. 100–20)

287 ...... Fiscal Intermediary Standard System Recoupment and Claims Adjustment; Process Changes—Limitation of Recoupment—Analysis and Design. 288 ...... Creating a New File Transaction Layout Utilizing Automated Response Units. 289 ...... Present on Admission Indicator Systems Implementation. 290 ...... New Contractor Number for Trispan Missouri Part A Workload. 291 ...... Cessation of FI-to-FI Moves for Providers that are Members of Chains. 292 ...... Issued to specific audience, not posted to Internet/Intranet due to Confidentiality of Instruction.

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ADDENDUM IV—REGULATION DOCUMENTS PUBLISHED IN THE FEDERAL REGISTER JULY THROUGH SEPTEMBER 2007

FR volume Publication date 72 page 42 CFR parts af- File code Title of regulation number fected

July 5, 2007 ...... 36710 ...... CMS–5042–N2 ...... Medicare Program; Solicitation for Proposals From Rural Hos- pitals to Participate in the Medicare Hospital Gainsharing Demonstration Program Under Section 5007 of the Deficit Reduction Act. July 5, 2007 ...... 36613 412 and 413 ...... CMS–1529–CN ...... Medicare Program; Prospective Payment System for Long- Term Care Hospitals RY 2008: Annual Payment Rate Up- dates, and Policy Changes; Corrections. July 5, 2007 ...... 36612 412 and 413 ...... CMS–1529–N ...... Medicare Program; Hospital Direct and Indirect Graduate Med- ical Education Policy Changes; Notice. July 12, 2007 ...... 38122 409, 410, 411, 413, CMS–1385–P ...... Medicare Program; Proposed Revisions to Payment Policies 414, 415, 418, Under the Physician Fee Schedule, and Other Part B Pay- 423, 424, 484, ment Policies for CY 2008; Proposed Revisions to the Pay- 485, and 491. ment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Proposed Elimination of the E-Prescribing Exemption for Computer-Generated Fac- simile Transmissions. July 13, 2007 ...... 38662 435, 436, 440, 441, CMS–2257–F ...... Medicaid Program; Citizenship Documentation Requirements. 457, and 483. July 17, 2007 ...... 39142 447 ...... CMS–2238–FC ...... Medicaid Program; Prescription Drugs. July 20, 2007 ...... 39776 455 ...... CMS–2264–P ...... Medicaid Integrity Program; Limitation on Contractor Liability. July 20, 2007 ...... 39746 402 ...... CMS–6146–F, Medicare Program; Revised Civil Money Penalties, Assess- CMS–6019–F ..... ments, Exclusions, and Related Appeals Procedures. July 27, 2007 ...... 41333 ...... CMS–1388–N ...... Medicare Program; Request for Nominations and Meeting of the Practicing Physicians Advisory Council, August 27, 2007. July 27, 2007 ...... 41331 ...... CMS–2272–PN ...... Medicare and Medicaid Programs; Application by the Amer- ican Osteopathic Association (AOA) for Continued Deeming Authority for Critical Access Hospitals (CAHs). July 27, 2007 ...... 41232 148 ...... CMS–2260–IFC ..... High Risk Pools. July 27, 2007 ...... 41230 146 ...... CMS–4094–F5 ...... Amendment to the Interim Final Regulation for Mental Health Parity. August 1, 2007 ...... 42001 424 ...... CMS–6006–P ...... Medicare Program; Surety Bond Requirement for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). August 2, 2007 ...... 42628 410, 411, 414, 416, CMS–1392–P ...... Medicare Program; Proposed Changes to the Hospital Out- 419, 482, and patient Prospective Payment System and CY 2008 Payment 485. Rates; Proposed Changes to the Ambulatory Surgical Cen- ter Payment System and CY 2008 Payment Rates; Medi- care and Medicaid Programs; Proposed Changes to Hos- pital Conditions of Participation; Proposed Changes Affect- ing Necessary Provider Designations of Critical Access Hos- pitals. August 2, 2007 ...... 42470 410 and 416 ...... CMS–1517–F ...... Medicare Program; Revised Payment System Policies and Services Furnished in Ambulatory Surgical Centers (ASCs) Beginning in CY 2008. August 3, 2007 ...... 43412 409 ...... CMS–1545–F ...... Medicare Program; Prospective Payment System and Consoli- dated Billing for Skilled Nursing Facilities for FY 2008. August 6, 2007 ...... 43581 409, 410, 411, 413, CMS–1385–CN ...... Medicare Program; Proposed Revisions to Payment Policies 414, 415, 418, Under the Physician Fee Schedule, and Other Part B Pay- 423, 424, 484, ment Policies for CY 2008; Proposed Revisions to the Pay- 485, and 491. ment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Proposed Elimination of the E-Prescribing Exemption for Computer-Generated Fac- simile Transmissions; Corrections. August 7, 2007 ...... 44284 412 ...... CMS–1551–F ...... Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2008. August 7, 2007 ...... 44150 ...... CMS–3188–NC ...... Medicare Program; Evaluation Criteria and Standards for Quality Improvement Program Organization Contracts. August 13, 2007 ..... 45201 440 and 441 ...... CMS–2261–P ...... Medicaid Program; Coverage for Rehabilitative Services. August 17, 2007 ..... 46175 402 ...... CMS–6146–CN2, Medicare Program; Revised Civil Money Penalties, Assess- CMS–6019–CN .. ments, Exclusions, and Related Appeals Procedures; Cor- rection. August 22, 2007 ..... 47130 411,412, 413, and CMS–1533–FC ...... Medicare Program; Changes to the Hospital Inpatient Pro- 489. spective Payment Systems and Fiscal Year 2008 Rates. August 24, 2007 ..... 48870 400 and 421 ...... CMS–6030–F ...... Medicare Program; Medicare Integrity Program, Fiscal Inter- mediary and Carrier Functions, and Conflict of Interest Re- quirements. August 24, 2007 ..... 48654 ...... CMS–7005–N ...... Medicare Program; Meeting of the Advisory Panel on Medi- care Education, September 20, 2007.

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ADDENDUM IV—REGULATION DOCUMENTS PUBLISHED IN THE FEDERAL REGISTER JULY THROUGH SEPTEMBER 2007— Continued

FR volume Publication date 72 page 42 CFR parts af- File code Title of regulation number fected

August 24, 2007 ..... 48652 ...... CMS–3184–N ...... Medicare Program; Meeting of the Medicare Evidence Devel- opment and Coverage Advisory Committee (MedCAC)—Oc- tober 22, 2007. August 24, 2007 ..... 48651 ...... CMS–1481–N4 ...... Medicare Program; Emergency Medical Treatment and Labor Act (EMTALA) Technical Advisory Group (TAG) Meeting— September 17–18, 2007. August 24, 2007 ..... 48650 ...... CMS–3193–N ...... Town Hall Meeting Regarding the Effect of Coverage and Pay- ment on Clinical Research Study Participation and Reten- tion, September 20, 2007. August 24, 2007 ..... 48647 ...... CMS–1542–N2 ...... Medicare Program; Announcement of New Members to the Advisory Panel on Ambulatory Payment Classification (APC) Groups. August 24, 2007 ..... 48604 440 ...... CMS–2234–P ...... Medicaid Program; State Option To Establish Non-Emergency Medical Transportation Program. August 24, 2007 ..... 48562 482 ...... CMS–3014–IFC ..... Medicare and Medicaid Programs; Hospital Conditions of Par- ticipation: Laboratory Services. August 29, 2007 ..... 49762 484 ...... CMS–1541–FC ...... Medicare Program; Home Health Prospective Payment Sys- tem Refinement and Rate Update for Calendar Year 2008. August 31, 2007 ..... 50490 431 and 457 ...... CMS–6026–F ...... Medicaid Program and State Children’s Health Insurance Pro- gram (SCHIP); Payment Error Rate Measurement. August 31, 2007 ..... 50470 416 ...... CMS–3887–P ...... Medicare and Medicaid Programs; Ambulatory Surgical Cen- ters, Conditions for Coverage. August 31, 2007 ..... 50214 418 ...... CMS–1539–F ...... Medicare Program; Hospice Wage Index for Fiscal Year 2008. September 5, 2007 51012 411 and 424 ...... CMS–1810–F ...... Medicare Program; Physicians’ Referrals to Health Care Enti- ties With Which They Have Financial Relationships (Phase III). September 7, 2007 51397 431, 433, and 440 CMS–2287–P ...... Medicaid Program; Elimination of Reimbursement Under Med- icaid for School Administration Expenditures and Costs Re- lated to Transportation of School-Age Children Between Home and School. September 19, 53628 424, 488, and 489 CMS–2268–F ...... Establishment of Revisit User Fee Program for Medicare Sur- 2007. vey and Certification Activities. September 28, 55282 ...... CMS–9041–N ...... Medicare and Medicaid Programs; Quarterly Listing of Pro- 2007. gram Issuances—April Through June 2007. September 28, 55224 ...... CMS–1378–N ...... Medicare Program; Medicare Provider Feedback Group Town 2007. Hall Meeting—October 16, 2007. September 28, 55222 ...... CMS–3186–PN ...... Medicare and Medicaid Programs; Application by the Indian 2007. Health Service (IHS) for Continued Recognition as a Na- tional Accreditation Organization for Accrediting American Indian and Alaska Native Entities To Furnish Outpatient Dia- betes Self-Management Training. September 28, 55219 ...... CMS–2267–N ...... Medicare, Medicaid, and CLIA Programs; Clinical Laboratory 2007. Improvement Amendments of 1988 Exemption of Labora- tories Licensed by the State of Washington. September 28, 55158 440 and 447 ...... CMS–2213–P ...... Medicaid Program; Clarification of Outpatient Clinic and Hos- 2007. pital Facility Services Definition and Upper Payment Limit. September 28, 55152 406, 407, and 408 CMS–4129–P ...... Medicare Program; Special Enrollment Period and Medicare 2007. Premium Changes. September 28, 55085 409 ...... CMS–1545–CN ...... Medicare Program; Prospective Payment System and Consoli- 2007. dated Billing for Skilled Nursing Facilities; Corrections.

Addendum V—National Coverage service covered under this title, or or, in some cases, explain why it was Determinations [July Through determination with respect to the not appropriate to issue an NCD. We September 2007] amount of payment made for a identify completed decisions by the A national coverage determination particular item or service so covered. section of the NCDM in which the (NCD) is a determination by the We include below all of the NCDs that decision appears, the title, the date the Secretary with respect to whether or not were issued during the quarter covered publication was issued, and the a particular item or service is covered by this notice. The entries below effective date of the decision. nationally under Title XVIII of the include information concerning Information on completed decisions as Social Security Act, but does not completed decisions as well as sections well as pending decisions has also been include a determination of what code, if on program and decision memoranda, posted on the CMS Web site at http:// any, is assigned to a particular item or which also announce pending decisions cms.hhs.gov/coverage.

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NATIONAL COVERAGE DETERMINATIONS [July through September 2007]

Title NCDM section TN number Issue date Effective date

Medicare Clinical Trial Policy ...... 310.1 R74NCD 9/07/07 07/09/07 Lumbar Artificial Disc Replacement ...... 150.10 R75NCD 09/11/07 08/14/07 Ultrasound Diagnostic Procedures ...... 220.5 R76NCD 09/12/07 05/17/07 Percutaneous Transluminal Angioplasty ...... 20.7 R77NCD 09/12/07 04/30/07

Addendum VI—FDA-Approved in Title 42; Title 45, Subchapter C; and OMB Number Approved CFR sections Category B IDEs [July Through Title 20 of the Code of Federal September 2007] Regulations, which have been approved 0938–0273 ...... 485.701–485.729 0938–0279 ...... 424.5 Under the Food, Drug, and Cosmetic by the Office of Management and Budget: 0938–0287 ...... 447.31 Act (21 U.S.C. 360c) devices fall into 0938–0296 ...... 413.170, 413.184 one of three classes. To assist CMS OMB Control Numbers 0938–0301 ...... 413.20, 413.24, 415.60 under this categorization process, the Approved CFR Sections in Title 42, 0938–0302 ...... 418.22, 418.24, 418.28, FDA assigns one of two categories to Title 45, and Title 20 (Note: 418.56, 418.58, 418.70, each FDA-approved IDE. Category A Sections in Title 45 are preceded by 418.74, 418.83, 418.96, refers to experimental IDEs, and ‘‘45 CFR,’’ and sections in Title 20 418.100 are preceded by ‘‘20 CFR,’’) 0938–0313 ...... 489.11, 489.20 Category B refers to non-experimental 0938–0328 ...... 482.12, 482.13, 482.21, IDEs. To obtain more information about OMB Number Approved CFR sections 482.22, 482.27, 482.30, the classes or categories, please refer to 482.41, 482.43, 482.45, the Federal Register notice published 0938–0008 ...... Part 424, Subpart C 482.53, 482.56, 482.57, on April 21, 1997 (62 FR 19328). 0938–0022 ...... 413.20, 413.24, 413.106 482.60, 482.61, 482.62, The following list includes all 0938–0023 ...... 424.103 482.66, 485.618, Category B IDEs approved by FDA 0938–0025 ...... 406.28, 407.27 485.631 during the third quarter, July through 0938–0027 ...... 486.100–486.110 0938–0334 ...... 491.9, 491.10 September 2007. 0938–0033 ...... 405.807 0938–0338 ...... 486.104, 486.106, 486.110 0938–0034 ...... 405.821 0938–0354 ...... 441.50 0938–0355 ...... 442.30, 488.26 IDE Category 0938–0035 ...... 407.40 0938–0037 ...... 413.20, 413.24 0938–0358 ...... 488.26 0938–0359 ...... 412.40–412.52 BB13393 ...... B 0938–0041 ...... 408.6, 408.202 0938–0360 ...... 488.60 BB13423 ...... B 0938–0042 ...... 410.40, 424.124 0938–0045 ...... 405.711 0938–0365 ...... 484.10, 484.12, 484.14, BB13463 ...... B 0938–0046 ...... 405.2133 484.16, 484.18, 484.36, G060207 ...... B 0938–0050 ...... 413.20, 413.24 484.48, 484.52 G070014 ...... B 0938–0062 ...... 431.151, 435.151, 0938–0372 ...... 414.330 G070035 ...... B 435.1009, 440.220, 0938–0378 ...... 482.60–482.62 G070036 ...... B 440.250, 442.1, 442.10– 0938–0379 ...... 442.30, 488.26 G070057 ...... B 442.16, 442.30, 442.40, 0938–0382 ...... 442.30, 488.26 G070076 ...... B 442.42, 442.100– 0938–0386 ...... 405.2100–405.2171 G070081 ...... B 442.119, 483.400– 0938–0391 ...... 488.18, 488.26, 488.28 G070094 ...... B 483.480, 488.332, 0938–0426 ...... 480.104, 480.105, 480.116, G070095 ...... B 488.400, 498.3–498.5 480.134 G070098 ...... B 0938–0065 ...... 485.701–485.729 0938–0429 ...... 447.53 G070103 ...... B 0938–0074 ...... 491.1–491.11 0938–0443 ...... 478.18, 478.34, 478.36, G070105 ...... B 0938–0080 ...... 406.7, 406.13 478.42 G070107 ...... B 0938–0086 ...... 420.200–420.206, 0938–0444 ...... 1004.40, 1004.50, 1004.60, G070108 ...... B 455.100–455.106 1004.70 G070109 ...... B 0938–0101 ...... 430.30 0938–0445 ...... 412.44, 412.46, 431.630, G070114 ...... B 0938–0102 ...... 413.20, 413.24 476.71, 476.74, 476.78 G070123 ...... B 0938–0107 ...... 413.20, 413.24 0938–0447 ...... 405.2133 G070126 ...... B 0938–0146 ...... 431.800–431.865 0938–0448 ...... 405.2133, 45 CFR 5, 5b; G070128 ...... B 0938–0147 ...... 431.800–431.865 20 CFR Parts 401, 422E G070130 ...... B 0938–0151 ...... 493.1–493.2001 0938–0449 ...... 440.180, 441.300–441.310 G070134 ...... B 0938–0155 ...... 405.2470 0938–0454 ...... 424.20 G070140 ...... B 0938–0193 ...... 430.10–430.20, 440.167 0938–0456 ...... 412.105 G070141 ...... B 0938–0202 ...... 413.17, 413.20 0938–0463 ...... 413.20, 413.24, 413.106 G070143 ...... B 0938–0214 ...... 411.25, 489.2, 489.20 0938–0467 ...... 431.17, 431.306, 435.910, G070144 ...... B 0938–0236 ...... 413.20, 413.24 435.920, 435.940– G070146 ...... B 0938–0242 ...... 416.44, 418.100, 482.41, 435.960 G070149 ...... B 483.270, 483.470 0938–0469 ...... 417.126, 422.502, 422.516 G070150 ...... B 0938–0245 ...... 407.10, 407.11 0938–0470 ...... 417.143, 422.6 G070158 ...... B 0938–0251 ...... 406.7 0938–0477 ...... 412.92 0938–0266 ...... 416.1–416.150 0938–0484 ...... 424.123 Addendum VII—Approval Numbers for 0938–0267 ...... 485.56, 485.58, 485.60, 0938–0501 ...... 406.15 Collections of Information 485.64, 485.66 0938–0502 ...... 433.138 0938–0269 ...... 412.116, 412.632, 413.64, 0938–0512 ...... 486.304, 486.306, 486.307 Below we list all approval numbers 413.350, 484.245 0938–0526 ...... 475.102, 475.103, 475.104, for collections of information in the 0938–0270 ...... 405.376 475.105, 475.106 referenced sections of CMS regulations 0938–0272 ...... 440.180, 441.300–441.305 0938–0534 ...... 410.38, 424.5

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OMB Number Approved CFR sections OMB Number Approved CFR sections OMB Number Approved CFR sections

0938–0544 ...... 493.1–493.2001 0938–0763 ...... 422.250, 422.252, 422.254, 0938–0920 ...... 438.6, 438.8, 438.10, 0938–0564 ...... 411.32 422.256, 422.258, 438.12, 438.50, 438.56, 0938–0565 ...... 411.20–411.206 422.262, 422.264, 438.102, 438.114, 0938–0566 ...... 411.404, 411.406, 411.408 422.266, 422.270, 438.202, 438.206, 0938–0573 ...... 412.256 422.300, 422.304, 438.207, 438.240, 0938–0578 ...... 447.534 422.306, 422.308, 438.242, 438.402, 422.310, 422.312, 438.404, 438.406, 0938–0581 ...... 493.1–493.2001 422.314, 422.316, 438.408, 438.410, 0938–0599 ...... 493.1–493.2001 422.318, 422.320, 438.414, 438.416, 0938–0600 ...... 405.371, 405.378, 413.20 422.322, 422.324, 438.604, 438.710, 0938–0610 ...... 417.436, 417.801, 422.128, 423.251, 423.258, 438.722, 438.724, 430.12, 431.20, 431.107, 423.265, 423.272, 438.810 483.10, 484.10, 489.102 423.286, 423.293, 0938–0921 ...... 414.804 0938–0612 ...... 493.801, 493.803, 423.301, 423.308, 0938–0931 ...... 45 CFR 142.408, 162.408, 493.1232, 493.1233, 423.315, 423.322, and 162.406 493.1234, 493.1235, 423.329, 423.336, 0938–0933 ...... 438.50 493.1236, 493.1239, 423.343, 423.346, 0938–0935 ...... 422 Subparts F and K 493.1241, 493.1242, 423.350 0938–0936 ...... 423 493.1249, 493.1251, 0938–0770 ...... 410.2 0938–0939 ...... 405.502 493,1252, 493.1253, 0938–0778 ...... 422.111, 422.564 0938–0944 ...... 422.250, 422.252, 422.254, 493.1254, 493.1255, 0938–0779 ...... 417.126, 417.470, 422.64, 422.256, 422.258, 493.1256, 493.1261, 422.210 422.262, 422.264, 493.1262, 493.1263, 0938–0781 ...... 411.404, 484.10 422.266, 422.270, 493.1269, 493.1273, 422.300, 422.304, 493.1274, 493.1278, 0938–0786 ...... 438.352, 438.360, 438.362, 438.364 422.306, 422.308, 493.1283, 493.1289, 422.310, 422.312, 0938–0790 ...... 460.12–460.210 493.1291, 493.1299 422.314, 422.316, 0938–0618 ...... 433.68, 433.74, 447.272 0938–0792 ...... 491.8, 491.11 422.318, 422.320, 0938–0653 ...... 493.1771, 493.1773, 0938–0796 ...... 422.64 422.322, 422.324, 493.1777 0938–0798 ...... 413.24, 413.65, 419.42 423.251, 423.258, 0938–0657 ...... 405.2110, 405.2112 0938–0802 ...... 419.43 423.265, 423.272, 0938–0658 ...... 405.2110, 405.2112 0938–0818 ...... 410.141–410.146, 414.63 423.279, 423.286, 0938–0667 ...... 482.12, 488.18, 489.20, 0938–0829 ...... 422.568 423.293, 423.301, 489.24 0938–0832 ...... Parts 489 and 491 423.308, 423.315, 0938–0686 ...... 493.551–493.557 0938–0833 ...... 483.350–483.376 423.322, 423.329, 423.336, 423.343, 0938–0688 ...... 486.301–486.325 0938–0841 ...... 431.636, 457.50, 457.60, 423.346, 423.350 0938–0691 ...... 412.106 457.70, 457.340, 457.350, 457.431, 0938–0950 ...... 405.910 0938–0692 ...... 466.78, 489.20, 489.27 0938–0951 ...... 423.48 0938–0701 ...... 422.152 457.440, 457.525, 457.560, 457.570, 0938–0953 ...... 405.1200 and 405.1202 0938–0702 ...... 45 CFR 146.111, 146.115, 457.740, 457.750, 0938–0954 ...... 414.906, 414.908, 414.910, 146.117, 146.150, 457.810, 457.940, 414.914, 414.916 146.152, 146.160, 457.945, 457.965, 0938–0957 ...... Part 423 Subpart R 146.180 457.985, 457.1005, 0938–0964 ...... 403.460, 411.47 0938–0703 ...... 45 CFR 148.120, 148.122, 457.1015, 457.1180 0938–0969 ...... 421.405 148.124, 148.126, 0938–0842 ...... 412.23, 412.604, 412.606, 0938–0975 ...... 423.562(a) 148.128 412.608, 412.610, 0938–0976 ...... 423.568 0938–0714 ...... 411.370–411.389 412.614, 412.618, 0938–0977 ...... Part 423 Subpart R 0938–0717 ...... 424.57 412.626, 413.64 0938–0978 ...... 423.464 0938–0982 ...... 422.310, 423.301, 423.322, 0938–0721 ...... 410.33 0938–0846 ...... 411.352–411.361 423.875, 423.888 0938–0723 ...... 421.300–421.316 0938–0857 ...... Part 419 0938–0730 ...... 405.410, 405.430, 405.435, 0938–0990 ...... 423.56 0938–0860 ...... Part 419 0938–0992 ...... 423.505, 423.514 405.440, 405.445, 0938–0866 ...... 45 CFR Part 162 405.455, 410.61, 0938–0993 ...... 1396 0938–0872 ...... 413.337, 483.20, 415.110, 424.24 0938–0997 ...... 424.5 0938–0873 ...... 422.152 0938–1009 ...... 411.357(v), 411.357(w) 0938–0732 ...... 417.126, 417.470 0938–0874 ...... 45 CFR Parts 160 and 162 0938–1020 ...... 412.525(a)(4), 0938–0734 ...... 45 CFR 5b 0938–0878 ...... Part 422 Subparts F and G 412.529(c)(3), 0938–0739 ...... 413.337, 413.343, 424.32, 412.84(i)(2) 483.20 0938–0887 ...... 45 CFR 148.316, 148.318, 148.320 0938–1024 ...... 1396 0938–0749 ...... 424.57 0938–0897 ...... 412.22, 412.533 0938–1026 ...... 447.52 0938–0753 ...... 422.000–422.700 0938–0907 ...... 412.230, 412.304, 413.65 0938–1013 ...... 423.56e 0938–0754 ...... 441.151, 441.152 0938–1019 ...... 405.1206, 422.622 0938–0910 ...... 422.620, 422.624, 422.626 0938–0758 ...... 413.20, 413.24 0938–1023 ...... 422.152a 0938–0911 ...... 426.400, 426.500 0938–0760 ...... 484.55, 484.205, 484.245, 0938–0915 ...... 421.120, 421.122 484.250 0938–0916 ...... 483.16 Addendum VIII—Medicare-Approved 0938–0761 ...... 484.11, 484.20 Carotid Stent Facilities [July Through September 2007] On March 17, 2005, we issued our decision memorandum on carotid artery stenting. We determined that carotid artery stenting with embolic protection

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is reasonable and necessary only if optimal patient outcomes. We have meet our standards in order to receive performed in facilities that have been created a list of minimum standards for coverage for carotid artery stenting for determined to be competent in facilities modeled in part on high risk patients. performing the evaluation, procedure, professional society statements on and follow-up necessary to ensure competency. All facilities must at least

APPROVED CAROTID ARTERY STENTING FACILITIES [July through September 2007]

Provider Additional infor- Facility name number Effective date State mation

East Ohio Regional Hospital, 90 N. 4th Street, Martins Ferry, OH 43935 360080 07/05/2007 OH ...... N/A NEA Medical Center, 3024 Stadium Boulevard, Jonesboro, AR 72401 ... 040118 07/05/2007 AR ...... N/A Hazelton General Hospital, 700 East Broad Street, Hazelton, PA 18201 390185 07/05/2007 PA ...... N/A St. Lucie Medical Center, 1800 SE Tiffany Avenue, Port Lucie, FL 100260 07/18/2007 FL...... N/A 34952. Memorial Medical Center, 1700 Coffee Road, Modesto, CA 95355 ...... 050557 08/01/2007 CA ...... N/A Hopedale Medical Complex, 107 Tremont Street, Hopedale, IL 61747 ... 141330 08/20/2007 IL ...... N/A Marquette General Health System, 580 W. College Avenue, Marquette, 230054 08/20/2007 MI...... N/A MI 49855. The Good Samaritan Hospital, Fourth and Walnut Streets, Lebanon, PA 390066 08/20/2007 PA ...... PO Box 1281 17042–1281. MidState Medical Center, 435 Lewis Avenue, Meriden, CT 06451 ...... 070017 08/20/2007 CT ...... N/A Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 050516 08/20/2007 KS ...... PO Box 1478 95680. Western Plains Medical Complex, 3001 Avenue A, Dodge City, KS 170175 08/27/2007 KS...... N/A 67801–1478. Conroe Regional Medical Center, 504 Medical Center Boulevard, 450222 08/27/2007 TX...... N/A Conrole, TX 77304. Frederick Memorial Hospital, 400 W. 7th Street, Frederick, MD 21701 ... 210005 09/04/2007 MD ...... N/A Doctors Hospital of Dallas, 9440 Poppy Drive, Dallas, TX 75218 ...... 450678 09/07/2007 TX ...... N/A Middlesex Hospital, 28 Crescent Street, Middletown, CT 06457–3650 .... 070020 09/07/2007 CT...... N/A Lewis Gale Medical Center, 1900 Electric Road, Salem, VA 24153 ...... 490048 09/07/2007 VA ...... N/A

Addendum IX—American College of are covered by Medicare and their identified by the FDA or in the Cardiology’s National Cardiovascular respective data reporting requirements American College of Cardiology’s Data Registry Sites [July Through are available in the Medicare National National Cardiovascular Data Registry September 2007] Coverage Determination (NCD) Manual, (ACC–NCDR) ICD registry. Therefore, in which is on the Centers for Medicare & order for a beneficiary to receive a In order to obtain reimbursement, Medicaid Services (CMS) Web site at Medicare-covered ICD implantation for Medicare national coverage policy http://www.cms.hhs.gov/Manuals/IOM/ primary prevention, the beneficiary requires that providers implanting ICDs itemdetail.asp?filterType=none& must receive the scan in a facility that for primary prevention clinical filterByDID=99&sortByDID=1&sort participates in the ACC–NCDR ICD indications (that is, patients without a Order=ascending&itemID=CMS014961. registry. history of cardiac arrest or spontaneous A provider can use either of two We maintain a list of facilities that arrhythmia) report data on each primary mechanisms to satisfy the data reporting have been enrolled in this registry. prevention ICD procedure. This policy requirement. Patients may be enrolled Addendum IX includes the facilities became effective January 27, 2005. either in an Investigational Device that have been designated in the quarter Details of the clinical indications that Exemption trial studying ICDs as covered by this notice.

Facility name Address 1 Address 2 City State Zip

A. L. Lee Memorial Hospital .... 510 South Fulton Street ...... Fulton ...... NY ...... 13069 Abbott Northwestern Hospital .. 800 East 28th Street (internal ...... Minneapolis ... MN ...... 55407 zip 33210). Abilene Regional Medical Cen- 6250 Highway 83/84 ...... Abilene ...... TX ...... 97606 ter. Abington Memorial Hospital ..... 1200 York Road ...... Abington ...... PA ...... 19446 Adena Regional Medical Cen- 272 Hospital Road ...... Chillicothe ..... OH ...... 45601 ter. Advance Cath Imaging, L.P ..... 609 Medical Center Drive ...... Decatur ...... TX ...... 76234 Adventist Medical Center ...... 10123 SE Market Street ...... Portland ...... OR ...... 97216 Advocate Christ Medical Cen- 4440 West 95th Street ...... Oak Lawn ..... IL ...... 60453 ter. #127NOB. Advocate Good Shepherd Hos- 450 W. Highway 22 ...... Barrington ..... IL ...... 60010 pital. Advocate Illinos Masonic Med- 836 W. Wellington Avenue ...... Chicago ...... IL ...... 60657 ical Center. Advocate Lutheran General 1775 Dempster Street ...... Park Ridge .... IL ...... 60068 Hospital.

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Facility name Address 1 Address 2 City State Zip

Advocate South Suburban 17800 S. Kedzie Avenue ...... Hazel Crest ... IL ...... 60429 Hospital. Aiken Regional Medical Center 302 University Parkway ...... Aiken ...... SC ...... 29802 Akron City Hospital ...... 525 East Market Street ...... Akron ...... OH ...... 44309–2090 Akron General Medical Center 400 Wabash Avenue ...... Akron ...... OH ...... 44307 Alaska Regional Hospital ...... 2801 Debarr Road ...... Anchorage .... AK ...... 99508 Albany Medical Center Hospital 43 New Scotland Aveune ...... Albany ...... NY ...... 12208 Albert Einstein Medical Center 5501 Old York Road ...... Philadelphia .. PA ...... 19141 Alegent Health Bergan Mercy 7500 Mercy Road ...... Omaha ...... NE ...... 68124 Medical Center. Alegent Health Immanuel Med- 6828 N. 72 Street ...... Omaha ...... NE ...... 68122–1709 ical Center. Alegent Health-Mercy Hospital 6901 N. 72 Street ...... Suite 3000 N ...... Omaha ...... NE ...... 68122 Alexian Brothers Medical Cen- 800 Biesterfield Road ...... Elk Grove Vil- IL ...... 60007–3311 ter. lage. Allegheny General Hospital ..... 320 East North Avenue ...... Pittsburgh ...... PA ...... 15212 Allen Memorial Hospital ...... 1825 Logan Avenue ...... Waterloo ...... IN ...... 50703 Alliance Hospital ...... 515 North Adams ...... Odessa ...... TX ...... 79761 Alpena Regional Medical Cen- 1501 W. Chisholm Street ...... Alpena ...... MI ...... 49707 ter. Alta Bates Medical Center ...... 2450 Ashby Avenue ...... Berkeley ...... CA ...... 94705 Alta Bates Summit Medical 350 Hawthorne Avenue ...... Oakland ...... CA ...... 94609 Center. Alton Memorial Hospital ...... 1 Memorial Drive ...... Alton ...... IL ...... 62067 Altoona Hospital ...... 620 Howard Avenue ...... Altoona ...... PA ...... 16601 Altru Health System ...... 1200 South Columbia Road ...... Grand Forks .. ND ...... 58206–6002 Alvarado Hospital ...... 6645 Alvarado Road ...... San Diego ..... CA ...... 92124 Anaheim Memorial Medical 1111 W. La Palma Avenue ...... Anaheim ...... CA ...... 92801 Center. AnMed Health ...... 800 Fant Street ...... Anderson ...... SC ...... 29621 Anna Jaques Hospital ...... 25 Highland Avenue ...... Newburyport MA ...... 01950 Anne Arundel Medical Center .. 2001 Medical Parkway ...... Annapolis ...... MD ...... 21401 Appleton Medical Center/Theda 1818 N. Meade Street/MOB– Diagnostic Center-2nd Floor ... Appleton ...... WI ...... 54911 Clark Medical Center. S/2nd Floor. Arizona Heart Hospital ...... 1930 East Thomas Road ...... 1930 East Thomas Road ...... Phoenix ...... AZ ...... 85016 Arkansas Heart Hospital ...... 1701 S. Shackelford Road ...... Little Rock ..... AR ...... 72202 Arlington Memorial Hospital ..... 800 W. Randol Mill Road ...... Arlington ...... TX ...... 76012–2504 Arnot-Ogden Medical Center ... 600 Roe Avenue ...... Elmira ...... NY ...... 14905 Aspirus Wausau Hospital ...... 333 Pine Ridge Boulevard ...... Wausau ...... WI ...... 54401 Athens Regional Medical Cen- 1199 Prince Avenue ...... Athens ...... GA ...... 30606 ter. Atlanta Medical Center ...... 303 Parkway Drive NE ...... Box 88 ...... Atlanta ...... GA ...... 30312 Atlanticare Regional Medical 2500 English Creek Avenue ...... Egg Habour NJ ...... 08234 Center. Township. Audrain Medical Center ...... 620 East Monroe Street ...... Mexico ...... MO ...... 65265 Aultman Hospital ...... 2600 Sixth Street SW ...... Canton ...... OH ...... 44710 Aurora Bay Care Medical Cen- 2845 Greenbrier Road ...... Green Bay .... WI ...... 54308 ter. Aurora Sinai Medical Center .... 2900 West Oklahoma Avenue ...... Milwaukee ..... WI ...... 53215 Aventura Hospital and Medical 20900 Biscayne Boulevard ...... Aventura ...... FL ...... 33180 Center. Avera Heart Hospital of South 4500 West 69th Street ...... Sioux Falls .... SD ...... 57108 Dakota. Avera Sacred Heart Hospital ... 501 Summit Street ...... Yankton ...... SD ...... 57078 Bakersfield Heart Hospital ...... 3001 Sillect Avenue ...... Bakersfield .... CA ...... 93308 Bakersfield Memorial Hospital 420 34th Street ...... PO Box 1888 ...... Bakersfield .... CA ...... 93303–1888 Ball Memorial Hospital ...... 2401 University Avenue ...... Muncie ...... IN ...... 47303 Banner Desert Medical Center Banner Desert Medical Center, 1400 S. Dobson Road ...... Mesa ...... AZ ...... 85202 Quality Management. Banner Estrella Medical Center 9201 W. Thomas Road ...... Phoenix ...... AZ ...... 85037 Banner Good Samaritan Med- 1111 East McDowell Road ...... Phoenix ...... AZ ...... 85006–2612 ical Center. Banner Thunderbird Medical 5555 W. Thunderbird Road ...... Glendale ...... AZ ...... 85306 Center. Baptist Health Medical Center 9601 Interstate 630 Exit 7 ...... Little Rock ..... AR ...... 72205 Baptist Health Medical Center 3333 Springhill Drive ...... North Little AR ...... 72117 Rock. Baptist Hospital ...... 1000 W. Moreno Street ...... Pensacola ..... FL ...... 32501 Baptist Hospital East ...... 4000 Kresge Way ...... Louisville ...... KY ...... 40207 Baptist Hospital of East Ten- 137 Blount Avenue ...... Knoxville ...... TN ...... 37920 nessee. Baptist Hospital of Miami ...... 8900 SW 88th Street ...... Miami ...... FL ...... 33176 Baptist Hospital West ...... 137 Blount Avenue ...... Knoxville ...... TN ...... 37920 Baptist Medical Center ...... 2105 East South Boulevard ...... Montgomery .. AL ...... 36116

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Facility name Address 1 Address 2 City State Zip

Baptist Medical Center ...... 800 Prudential Drive ...... Jacksonville .. FL ...... 32207 Baptist Medical Center ...... 111 Dallas Street ...... San Antonio .. TX ...... 78205 Baptist Memorial Hospital ...... 6019 Walnut Grove Road ...... Memphis ...... TN ...... 38120 Baptist Memorial Hospital 2520 5th Street North P.O...... Columbus ...... MS ...... 39703 Golden Triangle. Box 1307. Baptist Memorial Hospital 2301 South Lamar Boulevard ...... Oxford ...... MS ...... 38655 North Mississippi. Baptist Memorial Hospital- 7601 Southcrest Parkway ...... Southaven ..... MS ...... 38671 Desoto. Baptist Memorial Hospital- 1201 Bishop Street ...... Union City ..... TN ...... 38261 Union City. Baptist St. Anthony’s Health 1600 Wallace Boulevard ...... Amarillo ...... TX ...... 79106 Systems. Barberton Citizens Hospital ..... 155 5th Street NE ...... Barberton ...... OH ...... 44203 Barnes Jewish Hospital/Wash- Barnes Jewish Hospital. Car- 600 S. Taylor Avenue, Saint Louis .... MO ...... 63110–9930 ington University. diovascular Procedure C. Mailstop 90–59–315. Barstow Community Hospital ... 555 South Seventh Street ...... Barstow ...... CA ...... 92311 Bartow Regional Medical Cen- PO Box 1050 ...... Bartow ...... FL ...... 33831–1050 ter. Bassett Healthcare-(Mary Imo- One Atwell Road ...... Cooperstown NY ...... 13326 gene Bassett Hospital). Baton Rouge General Medical 3600 Florida Boulevard ...... Baton Rouge LA ...... 70806 Center. Battle Creek Health System ..... 300 North Avenue ...... Battle Creek .. MI ...... 49016 Baxter Regional Medical Cen- 624 Hospital Drive ...... Mountain AR ...... 72653 ter Attn: A/P. Home. Bay Medical Center ...... 615 North Bonita Avenue ...... Panama City FL ...... 32401 Bay Regional Medical Center .. 1900 Columbus Avenue ...... Bay City ...... MI ...... 48708 Bayfront Medical Center ...... 701 Sixth Street South ...... St. Petersburg FL ...... 33701 Bayhealth Medical Center 640 S. State Street ...... Dover ...... DE ...... 19901 (KGH). Baylor All Saints Medical Cen- 1400 Eighth Avenue ...... Fort Worth ..... TX ...... 76104 ter at Fort Worth. Baylor Jack and Jane Hamilton 621 North Hall Street ...... Dallas ...... TX ...... 75226 Heart and Vascular Hospital. Baylor Medical Center at Gar- 2300 Marie Curie Drive ...... Garland ...... TX ...... 75042 land. Baylor Medical Center at Irving 1901 North MacArthur Boule- ...... Irving ...... TX ...... 75061 vard. Baylor Regional Medical Cen- 1650 West College Street ...... Grapevine ..... TX ...... 76051 ter at Grapevine. Baylor Regional Medical Cen- 4700 Alliance Boulevard ...... Plano ...... TX ...... 75093 ter at Plano. Bayshore Medical Center ...... 4000 Spencer Highway ...... Pasadena ...... TX ...... 77504 Baystate Medical Center ...... 759 Chestnut Street, S4553 ...... Springfield ..... MA ...... 01199 Bellevue Hospital Center ...... 462 First Avenue ...... New York ...... NY ...... 10016 Bellin Memorial Hospital ...... 744 S Webster Avenue ...... Cardiac Data Center 5th Floor Green Bay .... WI ...... 54301 Benefis Healthcare ...... 1101 26th Street South ...... Great Falls .... MT ...... 59405–5161 Bert Fish Medical Center ...... 401 Palmetto Street ...... New Smyrna FL ...... 32168 Beach. Beth Israel Deaconess Medical 185 Pilgrim Road ...... Boston ...... MA ...... 02215 Center. Bethesda Memorial Hospital .... 2815 S. Seacrest Boulevard ...... Boynton FL ...... 33435 Beach. Bethesda North Hospitals ...... 375 Dixmyth Avenue ...... Cincinnati ...... OH ...... 45220–2489 Beverly Hospital ...... 85 Herrick Street ...... Beverly ...... MA ...... 01915 Bexar County Hospital District 4502 Medical Drive, Stop 34–1 ...... San Antonio .. TX ...... 78229 d.b.a. University Health Sys- Room G–0128. tem. Biloxi Regional Medical Center 150 Reynoir Street ...... Biloxi ...... MS ...... 39530 Blake Medical Center ...... 2020 59th Street W ...... Bradenton ..... FL ...... 34209 Blanchard Valley Hospital ...... 145 W. Wallace Street ...... Findlay ...... OH ...... 45840–1299 Blessing Hospital ...... 11th and Broadway ...... Quincy ...... IL ...... 62301 Bloomington Hospital ...... 601 W. Second Street ...... Bloomington .. IN ...... 47403 Blue Ridge HealthCare ...... 2201 South Sterling Street ...... Morganton ..... NC ...... 28655 Boca Raton Community Hos- 800 Meadows Road ...... Boca Raton ... FL ...... 33486 pital. Bon Secours DePaul Medical 150 Kingsley Lane ...... Norfolk ...... VA ...... 23505 Center. Bon Secours Maryview Medical 3636 High Street ...... Portsmouth ... VA ...... 23707 Center. Bon Secours-Memorial Re- 5801 Bremo Road ...... Suite 310, North Medical Of- Richmond ...... VA ...... 23226 gional Medical Center. fice Building.

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Facility name Address 1 Address 2 City State Zip

Bon Secours St. Francis Med- 13701 Centerpointe Parkway ...... Midlothian ..... VA ...... 23114 ical Center. Bon Secours-St. Marys Hos- 5801 Bremo Road ...... Richmond ...... VA ...... 23226 pital. Boone Hospital Center ...... 1600 E. Broadway ...... Columbia ...... MO ...... 65201–5897 Borgess Medical Center ...... 1521 Gull Road ...... Kalamazoo .... MI ...... 49048 Boston Medical Center ...... One Boston Medical Place ...... Boston ...... MA ...... 02118 Botsford Hospital ...... 28050 Grand River Avenue ...... Farmington MI ...... 48336 Hills. Boulder Community Hospital ... 1100 Balsam Avenue ...... Boulder ...... CO ...... 80304 Braddock Campus ...... 900 Braddock Drive ...... Cumberland .. MD ...... 21502 Brandon Regional Hospital ...... 119 Oakfield Drive ...... Brandon ...... FL ...... 33511 Brandon Regional Hospital ...... 119 Oakfield Drive, Attn: CCL ...... Brandon ...... FL ...... 33511 Brandywine Hospital ...... 201 Reeceville Road ...... Coatesville .... PA ...... 19320 Bridgeport Hospital ...... 267 Grant Street ...... Bridgeport ..... CT ...... 06610 Brigham & Women’s Hospital .. 75 Francis Street ...... Boston ...... MA ...... 02115 BroMenn Hospital ...... P.O. Box 2850 ...... Bloomington .. IL ...... 61702–2850 Bronson Methodist Hospital ..... 601 John Street ...... Kalamazoo .... MI ...... 49007–5348 Brookdale Hospital & Medical 1 Brookdale Plaza ...... Brooklyn ...... NY ...... 11212 Center. Brooklyn Hospital Center ...... 121 Dekalb Avenue ...... Brooklyn ...... NY ...... 11201 Brooksville Regional Hospital .. 17240 Cortez Boulevard ...... Brooksville .... FL ...... 34601 Brookwood Medical Center ...... 2010 Brookwood Medical Cen- ...... Birmingham ... AL ...... 35209 ter. Brotman Medical Center ...... 3828 Delmas Terrace ...... Culver City .... CA ...... 90231–2459 Broward General Medical Cen- 1600 S Andrews Avenue ...... Ft. Lauderdale FL ...... 33316 ter. Bryan LGH Medical Center ...... 1600 South 48th Street ...... Lincoln ...... NE ...... 68526 Bryn Mawr Hospital ...... Suite 557, Lankenau MOB 100 Lancaster Avenue ...... Wynnewood .. PA ...... 19096 East. Buffalo General Hospital Aaron 100 High Street ...... Buffalo ...... NY ...... 14203 Health Science Library 4D. Cabell Huntington Hospital ...... 1340 Hal Greer Boulevard ...... Huntington .... WV ...... 25701 California Pacific Medical Cen- 2330 Clay Street, Elm Build- ...... San Francisco CA ...... 94115 ter. ing, Room #103. CAMC Teays Valley Hospital ... 1400 Hospital Drive ...... Hurricane ...... WI ...... 25526 Camden-Clark Memorial Hos- 800 Garfield Avenue ...... Parkersburg .. WV ...... 26101 pital. Candler Hospital, Inc ...... 5353 Reynolds Street ...... Savannah ...... GA ...... 31405 Cape Canaveral Hospital ...... 701 West Cocoa Beach ...... Cocoa Beach FL ...... 32931 Causeway. Cape Cod Hospital ...... 40 Quinlan Way ...... Hyannis ...... MA ...... 02601 Cape Fear Valley Health Sys- 303 Wagoner Drive ...... Fayetteville .... NC ...... 28303–4646 tem. Capital Regional Medical Cen- Barbara.scott3@hca ...... Tallahassee .. FL ...... 32308 ter. healthcare.com. Capital Regional Medical Cen- 1125 Madison Street (PO Box ...... Jefferson City MO ...... 65102–1128 ter. 1128). Cardiovascular Center of Puer- PO Box 366528 ...... San Juan ...... PR ...... 00936–6528 to Rico. Carilion Roanoke Memorial Att: Cardiac Cath Lab ...... PO Box 13367 ...... Roanoke ...... VA ...... 24033–3367 Hosp. Caritas Norwood Hospital ...... 800 Washington Street ...... Norwood ...... MA ...... 02062 Caritas St. Elizabeths Med 736 Cambridge Street ...... Boston ...... MA ...... 02135 Center. Carle Foundation Hospital ...... 611 W. Park Street ...... Urbana ...... IL ...... 61801 Carolina Pines Regional Med- 1304 W. Bobo Newsome ...... Hartsville ...... SC ...... 29069 ical Center. Highway. Carolinas Hospital System ...... 805 Pamplico Highway ...... Florence ...... SC ...... 29505 Carolinas Medical Center ...... P.O. Box 32861 ...... Charlotte ...... NC ...... 28232 Carolinas Medical Center- 2001 Vail Avenue ...... Charlotte ...... NC ...... 28207 Mercy. Carondelet Heart Institute at 1000 Carondelet Drive ...... Kansas City .. MO ...... 64114 St. Joseph Medical Center. Carson Tahoe Regional Med- 775 Fleischmann Way ...... Carson ...... NV ...... 89703 ical Center. Cartersville Medical Center ...... PO Box 20008 ...... Cartersville .... GA ...... 30120 Castleview Hospital ...... 300 North Hospital Drive ...... Price ...... UT ...... 84501 Catholic Medical Center ...... 100 McGregor Street ...... Manchester ... NH ...... 03102–3770 Cayuga Medical Center of 101 Dates Drive ...... Ithaca ...... NY ...... 14850 Ithaca. Cedars-Sinai Health Systems .. 8631 West Third Street, Suite ...... Los Angelos .. CA ...... 90048 415E. Centennial Medical Center ...... 2300 Patterson Street ...... Nashville ...... TN ...... 37203

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Facility name Address 1 Address 2 City State Zip

Centennial Medical Center ...... 12505 Lebanon Road ...... Frisco ...... TX ...... 75035 Centerpoint Medical Center ..... 19600 E. 39th Street ...... Independence MO ...... 64057 Centinela Hospital Medical 555 E. Hardy Street ...... Inglewood ..... CA ...... 90301 Center. Central Baptist Hospital ...... 1800 Nicholasville Road, Suite ...... Lexington ...... KY ...... 40503 401. Central DuPage Hospital ...... 25 N Winfield Road ...... Winfield ...... IL ...... 60190 Central Florida Regional Hos- 1401 W. Seminole Boulevard ...... Sandford ...... FL ...... 32771 pital. Central Maine Medical Center 300 Main Street ...... Lewiston ...... ME ...... 04240 Central Minnesota Heart Cen- 1406 Sixth Avenue North ...... St. Cloud ...... MN ...... 56303 ter at St. Cloud Hospital. Central Mississippi Medical 1850 Chadwick Drive ...... Jackson ...... MS ...... 39204 Center. Chandler Regional Medical 475 S. Dobson Road ...... Chandler ...... AZ ...... 85224–5695 Center. Charleston Area Medical Cen- 501 Morris Street ...... Charleston .... WV ...... 25301 ter. Charlotte Regional Medical 809 East Marion Avenue ...... Punta Gorda FL ...... 33950 Center. Charlton Memorial Hospital ...... 363 Highland Avenue ...... Fall River ...... MA ...... 02720–3700 Chattanooga-Hamilton County 975 E. Third Street ...... Chattanooga TN ...... 37403 Hospital Authority/ER. Chesapeake General Hospital 736 Battlefield Boulevard ...... Chesapeake .. VA ...... 23320 North. Cheshire Medical Center ...... 580 Court Street ...... Keene ...... NH ...... 3431 Chester County Hospital ...... 701 East Marshall Street ...... West Chester PA ...... 19380 Chester River Hospital Center 100 Brown Street ...... Chestertown .. MD ...... 21620 Cheyenne Regional Medical Cheyenne Regional Medical 214 E. 23rd Street ...... Cheyenne ..... WY ...... 82001 Center. Center. Christian Hospital ...... 11133 Dunn Road ...... St. Louis ...... MO ...... 63136 Christiana Care Health System 4755 Ogletown-Stanton Road ...... Newark ...... DE ...... 19718 Christus Hospital-St. Mary ...... 3600 Gates Boulevard ...... Port Arthur .... TX ...... 77642 Christus Saint Elizabeth Hos- 2830 Calder Street ...... Beaumont ..... TX ...... 77702 pital. Christus Santa Rosa Hospital .. 333 N. Santa Rosa Street ...... San Antonio .. TX ...... 78207 Christus Spohn Hospital Cor- 600 Elizabeth Street ...... Corpus Christi TX ...... 78404 pus Christi-Shoreline. Christus St. Michael Health 2600 St. Michael Drive ...... Texarkana ..... TX ...... 75501 System. Christus St. Patrick Hospital .... 524 South Ryan Street ...... Lake Charles LA ...... 70602–3401 Christus-Schumpert Highland One St. Mary Place ...... Shreveport .... LA ...... 71101 Hospital. Christus-St. Frances Cabrini 3330 Masonic Drive ...... Alexandria ..... LA ...... 71301 Hospital. Citrus Memorial Health System 502 W. Highland Boulevard ...... Inverness ...... FL ...... 34452 CJW Medical Center ...... 7101 Jahnke Road ...... Richmond ...... VA ...... 23225–4044 Clarian Health Partners—Meth- 1701 N. Senate Boulevard ...... Room A1082 ...... Indianapolis ... IN ...... 46202 odist Hospital campus. Clark Memorial Hospital ...... 1220 Missouri Avenue ...... Jeffersonville IN ...... 47130 Clear Lake Regional Medical 500 Medical Center Boulevard ...... Webster ...... TX ...... 77598 Center. Cleveland Clinic Florida ...... 3100 Weston Road ...... Weston ...... FL ...... 33331 Cleveland Clinic Foundation .... 9500 Euclid Avenue ...... Cleveland ...... OH ...... 44195 Coliseum Medical Centers ...... 350 Hospital Drive ...... Macon ...... GA ...... 31217 College Station Medical Center 1604 Rock Prairie Road ...... College Sta- TX ...... 77845 tion. Columbia North Hills Hospital .. 4401 Booth Calloway Road ...... North Rich- TX ...... 76180 land Hills. Columbia Regional Hospital ..... 1 Hospital Drive ...... Columbia ...... MO ...... 65212 Columbia St. Mary’s Hospital 4425 North Port Washington ...... Milwaukee ..... WI ...... 53212 Milwaukee. Road. Columbia St. Mary’s Hospital 13111 North Port Washington ...... Mequon ...... WI ...... 53097 Ozaukee. Road. Columbus Regional Hospital .... 2400 17th Street ...... Columbus ...... IN ...... 47201 Comanche County Memorial 3401 W. Gore Boulevard ...... Lawton ...... OK ...... 73505 Hospital. Community Health Partners ..... 3700 Kolbe Road ...... Lorain ...... OH ...... 44053 Community Hospital ...... 2615 E. High Street ...... Springfield ..... OH ...... 45505 Community Hospital and 433 West High Street ...... Bryan ...... OH ...... 43506 Wellness Center. Community Hospital East ...... Cardiovascular Services ...... 1500 North Ritter Avenue ...... Indianapolis ... IN ...... 46219 Community Hospital of the PO Box HH ...... Monterey ...... CA ...... 93942–1085 Monterey Peninsula.

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Facility name Address 1 Address 2 City State Zip

Community Hospital South ...... 1500 N. Ritter Avenue ...... Indianapolis ... IN ...... 46219–3027 Community Medical Center ...... 2827 Fort Missoula Road ...... Missoula ...... MT ...... 59804 Community Medical Center 99 37 West ...... Toms River ... NJ ...... 08775 Highway. Community Medical Center ...... 1800 Mulberry Street ...... Scranton ...... PA ...... 18510 Community Medical Center- 2755 Herndon Avenue ...... Clovis ...... CA ...... 93611 Clovis. Community Memorial Hospital 147 N. Brent Street ...... Ventura ...... CA ...... 93003 Community Memorial Hospital W180 N8085 Town Hall Road ...... Menomonee WI ...... 53052 Falls. Concord Hospital ...... 250 Pleasant Street ...... Concord ...... NH ...... 03301 Condell Medical Center ...... 801 S. Milwaukee Avenue ...... Libertyville ..... IL ...... 60048 Conroe Regional Medical Cen- 504 Medical Center Boulevard ...... Conroe ...... TX ...... 77304 ter. Convenant Heart Institute ...... 3615 19th Street ...... Lubbock ...... TX ...... 79410 Conway Regional Medical Cen- 2302 College Avenue ...... Conway ...... AR ...... 72032–6226 ter. Cookeville Regional Medical 142 W. 5th Street ...... Cookeville ..... TN ...... 38501–1760 Center. Cooley Dickinson Hospital ...... 30 Locust Street ...... North Hamp- MA ...... 01060 ton. Cooper University Hospital ...... One Cooper Plaza ...... D368B ...... Camden ...... NJ ...... 08103 Coral Springs Medical Center .. 3000 Coral Hills Drive ...... Coral Springs FL ...... 33065 Coral Gables Hospital ...... 3100 Douglas Road ...... Coral Gables FL ...... 33134 Corpus Christi Medical Center 1533 Brownlee Boulevard ...... Corpus Christi TX ...... 78412 County of Santa Clara ...... 751 S. Bascom Avenue ...... San Jose ...... CA ...... 95128 Covenant Healthcare ...... 1447 N. Harrison Street ...... Saginaw ...... MI ...... 48602 Cox Medical Center South ...... 3801 S. National Avenue ...... Springfield ..... MO ...... 65807 Craven Regional Medical Cen- 2000 Neuse Boulevard ...... PO Box 12157 ...... New Bern ...... NC ...... 28561 ter. Creighton University Medical 601 N. 30th Street ...... Omaha ...... NE ...... 68131 Center. Crittenton Hospital Medical 1101 W. University Drive ...... Rochester ..... MI ...... 48307–1831 Center. Crouse Hospital ...... 736 Irving Avenue ...... Syracuse ...... NY ...... 13210 Crozer Chester Medical Center 1 Medical Center Boulevard ...... Chester ...... PA ...... 19013–3995 CVPH Medical Center ...... 75 Beekman Street ...... Plattsburgh .... NY ...... 12901 Dakota Clinic ...... 3000 32nd Avenue SW ...... Fargo ...... ND ...... 58104 Dameron Hospital ...... 525 W. Acacia Street ...... Stockton ...... CA ...... 95203 Danbury Hospital ...... 24 Hospital Avenue ...... Danbury ...... CT ...... 06810–6099 Davis Hospital ...... 1600 West Antelope Drive ...... Layton ...... UT ...... 84041 Davis Regional Medical Center 218 Old Mocksville Road ...... Statesville ..... NC ...... 28625 Dayton Heart Hospital ...... 707 S. Edwin C. Moses Boule- ...... Dayton ...... OH ...... 45408 vard. DCH Regional Medical Center 809 University Boulevard East ...... Tuscaloosa ... AL ...... 35401–2029 Deaconess Hospital ...... 600 Mary Street ...... Evansville ...... IN ...... 47747 Deaconess Hospital ...... 311 Straight Street ...... Cincinnati ...... OH ...... 45219 Deaconess Hospital ...... 5501 N. Portland Avenue ...... Oklahoma OK ...... 73112 City. Deaconess Medical Center ...... W. 800 Fifth Avenue ...... Spokane ...... WA ...... 99204 Deborah Heart & Lung Center 200 Trenton Road ...... Browns Mills NJ ...... 08015 Decatur General Hospital ...... 1201 7th Street S.E...... Decatur ...... AL ...... 35601 Degraff Memorial Hospital ...... 100 High Street ...... Buffalo ...... NY ...... 14203 Dekalb Regional Medical Cen- 200 Medical Center Drive ...... Fort Payne .... AL ...... 35968 ter. Del Sol Medical Center ...... 10301 Gateway West ...... El Paso ...... TX ...... 79925 Delray Medical Center ...... 5352 Linton Boulevard ...... Delray Beach FL ...... 33484 Delta Regional Medical Center 1400 E. Union Street ...... Greenville ...... MS ...... 38702 Denton Regional Medical Cen- 3535 South I–35E ...... Denton ...... TX ...... 76205 ter. Denver Health Medical Center 777 Bannock Street ...... Denver ...... CO ...... 80204 DePaul Health Center ...... 12303 DePaul Drive ...... Bridgeton ...... MO ...... 63044 Des Peres Hospital ...... 2345 Dougherty Ferry Road ...... St. Louis ...... MO ...... 63122 Desert Regional Medical Cen- 1150 North Indian Canyon ...... Palm Springs CA ...... 92262 ter. Desert Springs Hospital ...... 620 Shadow Lane ...... Las Vegas ..... NV ...... 89106 Desert Valley Hospital ...... 16850 Bear Valley Road ...... Victorville ...... CA ...... 92392 Dixie Regional Medical Center 1380 E. Medical Drive ...... St. George .... UT ...... 84790 Doctors Hospital ...... 5000 University Drive ...... Miami ...... FL ...... 33146 Doctors Hospital ...... 5100 West Broad Street ...... Columbus ...... OH ...... 43228 Doctors Hospital ...... 9440 Poppy Drive ...... Dallas ...... TX ...... 75218 Doctors Hospital at Renais- 5501 S McColl Road ...... Edinburg ...... TX ...... 78539 sance. Doctors Hospital-Augusta ...... 3651 Wheeler Drive ...... Augusta ...... GA ...... 30909

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Facility name Address 1 Address 2 City State Zip

Doctors Hospital of Laredo ...... 10700 McPherson Road ...... Laredo ...... TX ...... 78045 Doctors Hospital of Sarasota ... 5731 Bee Ridge Road ...... Sarasota ...... FL ...... 34233 Doctors Hospital of Stark ...... 400 Austin Avenue ...... Massillon ...... OH ...... 44646 Doctors Medical Center ...... 2000 Vale Road ...... San Pablo ..... CA ...... 94806 Doctors Medical Center ...... 1441 Florida Avenue ...... Modesto ...... CA ...... 95350 Dominican Santa Cruz Hospital 1555 Soquel Drive ...... Santa Cruz .... CA ...... 95065 Downey Regional Medical Cen- 11500 Brookshire Avenue ...... Downey ...... CA ...... 90241 ter. Doylestown Hospital ...... 595 West State Street ...... Doylestown ... PA ...... 18901 DuBois Regional Medical Cen- 100 Hospital Avenue ...... DuBois ...... PA ...... 15801 ter. Duke Health Raleigh Hospital .. DUMC Box 3973 (3400 Wake ...... Raleigh ...... NC ...... 27609 Forest Road). Duke University Hospital ...... Erwin Road DUMC 3943 ...... Durham ...... NC ...... 27710 Dunn Memorial Hospital ...... 1600 23rd Street ...... Bedford ...... ID ...... 47421 Durham Regional Hospital ...... (3643N Roxboro Road) DUMC ...... Durham ...... NC ...... 27710 Box 3973. East Alabama Medical Center 2000 Pepperell Parkway ...... Opelika ...... AL ...... 36804 East Georgia Regional Medical 1499 Fair Road (PO Box ...... Statesboro .... GA ...... 30459 Center. 1048). East Jefferson General Hos- 4200 Houma Boulevard ...... 4200 Houma Boulevard ...... Metairie ...... LA ...... 70006 pital. East Ohio Regional Hospital .... 90 N. 4th Street ...... Martins Ferry OH ...... 43935 East Texas Medical Center ...... 1000 South Beckham Avenue ...... Tyler ...... TX ...... 75711 Eastern Idaho RMC ...... 3100 Channing Way ...... Idaho Falls .... ID ...... 83404 Easton Hospital (Northampton 250 South 21st Street ...... Easton ...... PA ...... 18042 Hospital Corp). Edward Hospital ...... 120 Spalding Drive #205 ...... Naperville ...... IL ...... 60540 Eisenhower Medical Center ..... 39000 Bob Hope Drive ...... Rancho Mi- CA ...... 92270 rage. El Camino Hospital ...... 2500 Grant Road ...... Mountain CA ...... 94040 View. Eliza Coffee Memorial Hospital 205 Marengo Street ...... Florence ...... AL ...... 35630 Elkhart General Hospital ...... 600 East Boulevard ...... 3 South Suites ...... Elkhart ...... IN ...... 46514–2499 Elliot Hospital ...... 1 Elliot Way ...... Manchester ... NH ...... 03103 Ellis Hospital ...... 1101 Nott Street ...... Schenectady NY ...... 12308 Elmhurst Memorial Hospital 200 Berteau Avenue ...... Elmhurst ...... IL ...... 60126 Marquardt Memorial Library. EMH Regional Medical Center 630 East River Street ...... Elyria ...... OH ...... 44035 Emory Crawford Long Hospital 550 Peachtree Street ...... Atlanta ...... GA ...... 30308 Emory Dunwoody Medical 4575 North Shallowford Road ...... Atlanta ...... GA ...... 30338 Center. Emory Eastside Medical Center 1700 Medical Way (PO Box ...... Snellville ...... GA ...... 30078 587). Emory University Hospital ...... 1364 Clifton Road, NE C408 ...... Atlanta ...... GA ...... 30322 Encino-Tarzana Regional Med- 18321 Clark Street ...... Tarzana ...... CA ...... 91356–3501 ical Center. Englewood Hospital & Medical 350 Engle Street ...... Englewood .... NJ ...... 07631 Center. Enloe Medical Center ...... 1600 Esplanade ...... Chico ...... CA ...... 95926 Erie County Medical Center ..... 462 Grider Street ...... Buffalo ...... NY ...... 14215 Evanston Hospital ...... 2650 Ridge Avenue ...... Evanston ...... IL ...... 60626 Excela Health Westmoreland 532 West Pittsburgh Street ...... Greensburg ... PA ...... 15601 Hospital. Exempla Good Samaritan Med- 200 Exempla Circle ...... Lafayette ...... CO ...... 80026 ical Center. Exempla Lutheran Medical 8300 W 38th Avenue ...... Wheat Ridge CO ...... 80033 Center. Exempla Saint Joseph Hospital 2420 W 26th Avenue, Buidling ...... Denver ...... CO ...... 80211 D, Suite 140. Exeter Hospital ...... Exeter Hospital Cardiac Cath ...... Exeter ...... NH ...... 03833 Lab 5 Alumni Drive. F.E. Lajam, MD PC ...... 140–04 58th Road ...... Flushing ...... NY ...... 11355 Fairfield Cardiac Cath Labs ..... 3000 Mack Road, Suite 200 ...... Fairfield ...... OH ...... 45014 Fairfield Medical Center ...... 401 North Ewing Street ...... Lancaster ...... OH ...... 43130 Fairview General Hospital ...... 18101 Lorain Road ...... Cleveland ...... OH ...... 44111 Fairview Park Hospital ...... 200 Industrial Boulevard ...... Dublin ...... GA ...... 31021 Fairview Southdale Hospital .... 6401 France Avenue South ...... Edina ...... MN ...... 55435 Faith Regional Health Services 2700 W. Norfolk Avenue ...... Norfolk ...... NE ...... 68701 Fawcett Memorial Hospital ...... 21298 Olean Boulevard ...... Port Charlotte FL ...... 33949–4960 FirstHealth Moore Regional 155 Memorial Drive ...... Pinehurst ...... NC ...... 28374 Hospital. Fisher-Titus Medical Center ..... 272 Benedict Avenue ...... Norwalk ...... OH ...... 44857 Flagler Hospital ...... 400 Health Park Boulevard ...... St. Augustine FL ...... 32086

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Facility name Address 1 Address 2 City State Zip

Fletcher Allen Health Care ...... 111 Colchester Avenue ...... Burlington ...... VT ...... 05401 Florida Hospital ...... 220 Winter Park Street ...... Orlando ...... FL ...... 32803 Florida Hospital Zephyrhills ...... 7050 Gall Boulevard ...... Zephyrhills .... FL ...... 33541 Florida Hospital Ormond Me- 875 Sterthaus Avenue ...... Ormond FL ...... 32174 morial. Beach. Florida Hospital Waterman Inc 1000 Waterman Way ...... Tavares ...... FL ...... 32778 Florida Medical Center ...... 5000 W Oakland Park Boule- ...... Fort Lauder- FL ...... 33313–1585 vard. dale. Flowers Hospital ...... 4370 West Main Street ...... Dothan ...... AL ...... 36305 Floyd Medical Center ...... 304 Turner McCall Boulevard ...... Rome ...... GA ...... 30162 Floyd Memorial Hospital ...... 1850 State Street ...... New Albany .. IN ...... 47150 Forest Hills Hospital ...... 102–01 66th Road ...... Forest Hills .... NY ...... 11375 Forrest General Hospital ...... 6051 Highway 49 South ...... Hattiesburg ... MS ...... 39404–6389 Forsyth Medical Center ...... 3333 Silas Creek Parkway ...... Winston- NC ...... 27103 Salem. Fort Sanders Regional Med 1901 Clinch Avenue ...... Knoxville ...... TN ...... 37916–2307 Center. Fort Walton Beach Medical 1000 Mar Walt Drive ...... Fort Walton FL ...... 32547 Center. Beach. Forum Health-Northside Med- 500 Gypsy Lane ...... Youngstown .. OH ...... 44501–0240 ical Center. Fountain Valley Regional Hosp 17100 Euclid Street ...... Fountain Val- CA ...... 92708–4004 ley. Frankford Hospital ...... Red Lion & Knights Road ...... Philadelphia .. PA ...... 19114 Frankfort Regional Medical 299 Kings Daughter Drive ...... Frankfort ...... KY ...... 40601 Center. Franklin Square Hospital ...... 9000 Franklin Square Drive ...... Baltimore ...... MD ...... 21237 Frederick Memorial Hospital .... 400 W. Seventh Street ...... Frederick ...... MD ...... 21710 Freeman Hospital ...... 1102 West 32nd Street ...... 1102 West 32nd Street ...... Joplin ...... MO ...... 64804 Freeport Health Network ...... 1045 W. Stephenson Street ...... Freeport ...... IL ...... 61032 Fremont Area Medical Center .. 450 East 23rd Street ...... Fremont ...... NE ...... 68025 French Hospital Medical Center 1911 Johnson Avenue ...... San Luis CA ...... 93401 Obispo. Fresno Community Hospital 110 N. Valeria Street #103 ...... Fresno ...... CA ...... 93710 and Medical Center. Fresno Heart Hospital ...... 15 East Audubon Drive ...... Fresno ...... CA ...... 93720 Froedtert Hospital ...... 9200 W. Wisconsin Avenue ...... Milwaukee ..... WI ...... 53226 Frye Regional Medical Center 420 N. Center Street ...... Hickory ...... NC ...... 28601 Gadsden Regional Medical 1007 Goodyear Avenue ...... Gadsden ...... AL ...... 35903 Center. Galichia Heart Hospital ...... 2610 N. Woodlawn Street ...... Wichita ...... KS ...... 67220 Garden City Hospital ...... 6245 Inkster Road ...... Garden City .. MI ...... 48135 Garden Grove Hospital ...... 12601 Garden Grove Boule- ...... Garden Grove CA ...... 92843 vard. Gaston Memorial Hospital ...... 2525 Court Drive ...... Gastonia ...... NC ...... 28054 Gateway Medical Center Gate- 1771 Madison Street ...... Clarksville ..... TN ...... 37043 way Health System. Gateway Regional Medical 2100 Madison Avenue ...... Granite City ... IL ...... 62040 Center. Geisinger Medical Center ...... 100 North Academy Avenue ...... Danville ...... PA ...... 17822–2160 Geisinger Wyoming Valley 100 North Academy Avenue ...... Danville ...... PA ...... 17822–2160 Medical Center. Genesis Medical Center ...... 1236 East Rusholme Street .... Suite 190 ...... Davenport ..... IA ...... 52803–2459 Genesis Medical Center, Illini 801 Illini Drive ...... Silvis ...... IL ...... 61282 Campus. Genesys Regional Medical One Genesys Parkway ...... Grand Blanc .. MI ...... 48439 Center. Georgetown University Hospital 3800 Reservoir Road NW ...... Washington ... DC ...... 20007 Gerald Champion Regional 2669 North Scenic Drive ...... Alamogordo .. NM ...... 88310 Medical. Glenbrook Hospital ...... 2100 Pfingsten Road ...... Evanston ...... IL ...... 60026 Glendale Adventist Medical 1509 Wilson Terrace ...... Glendale ...... CA ...... 91206 Center. Glendale Memorial Hospital 1420 S. Central Avenue ...... Glendale ...... CA ...... 91204–2594 and Health Center. Glens Falls Hospital ...... 100 Park Street ...... Glens Falls .... NY ...... 12801 Glenwood Regional Medical 503 McMillian Road ...... West Monroe LA ...... 71291 Center. Good Samaritan Heart Center 520 South 7th Street ...... Vincennes ..... IN ...... 47591 Good Samaritan Hospital & 2222 Philadelphia Drive ...... Dayton ...... OH ...... 45406 Health Center. Good Samaritan Hospital ...... 1225 Wilshire Boulevard ...... Los Angeles .. CA ...... 90017 Good Samaritan Hospital ...... 2425 Samaritan Drive ...... 2425 Samaritan Drive ...... San Jose ...... CA ...... 95124 Good Samaritan Hospital ...... 605 N. 12th Street ...... Mount Vernon IL ...... 62864

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Facility name Address 1 Address 2 City State Zip

Good Samaritan Hospital ...... 3815 Highland Avenue ...... Downers IL ...... 60515 Grove. Good Samaritan Hospital ...... 10 East 31st Street, ...... PO Box 1990 ...... Kearney ...... NE ...... 68848 Good Samaritan Hospital ...... 255 Lafayette Avenue ...... Suffern ...... NY ...... 10901 Good Samaritan Hospital ...... 375 Dixmyth Avenue ...... Cincinnati ...... OH ...... 45220–2489 Good Samaritan Hospital Car- 1000 Montauk Highway ...... West Islip ...... NY ...... 11795 diology. Good Samaritan Hospital of 5601 Loch Raven Boulevard ...... Baltimore ...... MD ...... 21239 Maryland. Good Samaritan Regional 3600 NW Samaritan Drive ...... Corvallis ...... OR ...... 97330 Medical Center. Good Shepherd Medical Cen- 700 E. Marshall Avenue ...... Longview ...... TX ...... 75601 ter. Governor Juan F. Luis Hospital 4007 Estate Diamond Ruby ...... Christiansted VT ...... 00820 & Medical Center. Graduate Hospital ...... 1800 Lombard Street ...... Philadelphia .. PA ...... 19146 Grady Memorial Hospital ...... 561 West Central Avenue ...... Delaware ...... OH ...... 43015–1489 Grand View Hospital ...... 700 Lawn Avenue ...... Sellersville ..... PA ...... 18960 Grandview Medical Center ...... 405 Grand Avenue ...... Dayton ...... OH ...... 45405 Grant Medical Center ...... 111 S. Grant Avenue ...... Columbus ...... OH ...... 43215 Gratiot Medical Center ...... 300 East Warwick Drive ...... Alma ...... MI ...... 48801 Great Plains Regional Medical Box 2339 ...... Elk City ...... OK ...... 73648 Center. Greater Baltimore Medical 6701 N. Charles Street ...... Baltimore ...... MD ...... 21204 Center. Greenville Memorial Hospital ... 701 Grove Road ...... Greenville ...... SC ...... 29605 Greenwich Hospital ...... 5 Perryridge Road ...... Greenwich ..... CT ...... 06830 Gulf Coast Medical Center ...... 449 W. 23rd Street ...... Panama City FL ...... 32406–5309 Gulf Coast Medical Center ...... 1400 Highway 59 ...... Wharton ...... TX ...... 77488 Gundersen Lutheran Medical 1910 South Avenue ...... LaCrosse ...... WI ...... 54601 Center, Inc.. Gwinnett Hospital System ...... 1000 Medical Center Boule- ...... Lawrenceville GA ...... 30045 vard. Hackensack University Medical 30 Prospect Avenue ...... Hackensack .. NJ ...... 07601 Center. Hackley Hospital General Fund 1700 Clinton Street ...... Muskegon ..... MI ...... 49443 Hahnemann University Hospital 230 N. Broad Street ...... Philadelphia .. PA ...... 19102 Halifax Medical Center ...... 303 N Clyde Morris Boulevard ...... Daytona FL ...... 32114–2732 Beach. Halifax Regional Hospital ...... 2204 Wilborn Avenue ...... South Boston VA ...... 24592 Hamilton Medical Center ...... 1200 Memorial Drive ...... Dalton ...... GA ...... 30720 Hamot Medical Center ...... 201 State Street ...... Erie ...... PA ...... 16550 Hannibal Regional Hospital ...... 6000 Hospital Drive ...... Hannibal ...... MO ...... 63401 Harbor Hospital Center ...... 3001 S. Hanover Street ...... Baltimore ...... MD ...... 21225 Hardin Memorial Hospital ...... 913 N Dixie Avenue ...... Elizabethtown KY ...... 42701–2599 Harlingen Medical Center ...... 5501 South Expressway 77 ...... Harlingen ...... TX ...... 78550 Harper University Hospital ...... 3990 John R. Street ...... Detroit ...... MI ...... 48201 Harris Methodist Fort Worth ..... 1301 Pennsylvania Avenue ...... Fort Worth ..... TX ...... 76104 Harris Methodist HEB ...... 1600 Hospital Parkway ...... Bedford ...... TX ...... 76022 Harrison Medical Center ...... 2520 Cherry Avenue ...... Bremerton ..... WA ...... 98310 Hartford Hospital ...... 80 Seymour Street ...... Hartford ...... CT ...... 06102 Harton Regional Medical Cen- 1801 N Jackson Street ...... Tullahoma ..... TN ...... 37388 ter. Havasu Regional Medical Cen- 101 Civic Center Lane ...... Lake Havasu AZ ...... 86403 ter. City. Hawaii Medical Center East, 2230 Liliha Street ...... Honolulu ...... HI ...... 96817 LLC. Hays Medical Center ...... 2220 Canterbury Drive ...... Hays ...... KS ...... 67601 Hazard ARH Regional Medical 100 Medical Center Drive ...... Hazard ...... KY ...... 41701 Center. Heart and Lung Clinic ...... 900 East Broadway Box 5510 ...... Bismarck ...... ND ...... 58502 Heart Center of Indiana ...... 8333 Nabb Road, Suite 330 ... Suite 330 ...... Indianapolis ... IN ...... 46290 Heart Hospital of Austin ...... 3801 N. Lamar Boulevard ...... Austin ...... TX ...... 78756 Heart Hospital of Lafayette ...... 1105 Kaliste Saloom Road ...... Lafayette ...... LA ...... 70508 Heart Hospital of New Mexico 504 Elm Street NE ...... Albuqerque ... NM ...... 87102 Heart of Florida Regional Med- 40100 Highway 27 ...... Davenport ..... FL ...... 33837 ical Center. Heart of Lancaster Regional 250 College Avenue ...... Lancaster ...... PA ...... 17604 Medical Center. Heartland Regional Medical 3333 W. Deyoung Street ...... Marion ...... IL ...... 62959 Center. Heartland Regional Medical The Heart Center—Cardiac 5325 Faraon Street ...... Saint Joseph MO ...... 64506–3373 Center. Cath Lab.

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Facility name Address 1 Address 2 City State Zip

Helen Ellis Memorial ...... 1395 South Pinella Avenue ...... Tarpon FL ...... 34689 Springs. Helen Keller Hospital ...... 1300 South Montgomery Ave- ...... Sheffield ...... AL ...... 35660 nue. Hendrick Medical Center ...... 1900 Pine Street ...... Abilene ...... TX ...... 79601 Hennepin County Medical Cen- 701 Park Avenue ...... Minneapolis ... MN ...... 55415–1829 ter. Henrico Doctors Hospital ...... 1602 Skipwith Drive ...... Richmond ...... VA ...... 23229 Henry Ford Hospital ...... 2799 West Grand Boulevard .. K–14 ...... Detroit ...... MI ...... 48202 Henry Ford Macomb ...... 15855 Nineteen Mile Road ...... Clinton ...... MI ...... 48038 Henry Ford Macomb Hospital— 13355 East Ten Mile Road ...... Warren ...... MI ...... 48089 Warren Campus. Henry Mayo Newhall Memorial 23845 McBean Parkway ...... Valencia ...... CA ...... 91355 Hospital. Henry Medical Center, Inc...... 1133 Eagles Landing Parkway ...... Stockbridge ... GA ...... 30281 Hialeah Hospital ...... 651 East 25th Street ...... Hialeah ...... FL ...... 33013 High Point Regional Hospital ... High Point Regional Hospital ...... High Point ..... NC ...... 27261 Highland Park Hospital ...... 718 Glenview Avenue ...... Highland Park IL ...... 60035 Highlands Regional Medical .... 3600 S. Highlands Avenue ...... Sebring ...... FL ...... 33870 Highlands Regional Medical 5000 U.S. 321 ...... Prestonsburg KY ...... 41653 Center. Hillcrest Baptist Medical Center 3000 Herring Avenue ...... Waco ...... TX ...... 76708 Hillcrest Hospital ...... 6780 Mayfield Road ...... Mayfield OH ...... 44124 Heights. Hillcrest Medical Center ...... 1120 South Utica ...... Tulsa ...... OK ...... 74104 Hinsdale Hospital ...... 120 N. Oak Street ...... Hinsdale ...... IL ...... 60521 HMA—Physician Management, 6101 Pine Ridge Road ...... Naples ...... FL ...... 34119 Inc.. Hoag Memorial Hospital Pres- One Hoag Drive ...... Newport CA ...... 92658 byterian. Beach. Hollywood Medical Center ...... 3600 Washington Street ...... Hollywood ..... FL ...... 33021 Holmes Regional Medical Cen- 1355 South Hickory Street ...... Suite 203 ...... Melbourne ..... FL ...... 32901 ter. Holy Cross Hospital ...... 4725 N. Federal Highway ...... Ft. Lauderdale FL ...... 33308 Holy Cross Hospital ...... 2701 W. 68th Street ...... Chicago ...... IL ...... 60629 Holy Cross Hospital/Medical Li- 1500 Forest Glen Road ...... Silver Spring MD ...... 20910 brary. Holy Spirit Health System ...... 503 N. 21st Street ...... Heart Center Administration .... Camp Hill ...... PA ...... 17011–2204 Hospital Auxilio Mutuo ...... PO Box 191227 ...... San Juan ...... PR ...... 00919 Hospital of St. Raphael ...... Section of Cardiology Pvt 207, 1450 Chapel Street ...... New Haven ... CT ...... 06511 Hospital of the University of 9011 E. Gates ...... 3400 Spruce Street ...... Philadelphia .. PA ...... 19104 Pennsylvania. Houston Northwest Medical 710 Farm ...... 1960 West Road ...... Houston ...... TX ...... 77090 Center Accounts Payable. Howard County General Hos- 5755 Cedar Lane ...... Columbia ...... MD ...... 21044 pital. Howard Regional Health Sys- 3500 South Lafountain Street ...... Kokomo ...... IN ...... 46904–9011 tem. Howard University Hospital ...... 2041 Georgia Avenue ...... Washington ... DC ...... 20060 Huguley Memorial Medical 11801 S. Freeway ...... Ft. Worth ...... TX ...... 76115 Center. Huntington Hospital ...... 100 W. California Boulevard ...... Pasadena ...... CA ...... 91109 Huntington Hospital ...... 270 Park Avenue ...... Huntington .... NY ...... 11743 Huntsville Hospital ...... Huntsville Hospital ...... Huntsville ...... AL ...... 35801 Hutchinson Hospital ...... 1701 E. 23rd Avenue ...... Hutchinson .... KS ...... 67502 Iberia Medical Center ...... 2315 East Main Street ...... New Iberia .... LA ...... 70560 Immanuel-St. Joseph’s Hospital 1025 Marsh Street ...... Mankato ...... MN ...... 56002 Indian River Memorial Hospital 1000 36th Street ...... Vero Beach ... FL ...... 32960 Indiana Heart Institute ...... 8333 Naab Road, Suite 330 ...... Indiana ...... IN ...... 46260 Indiana Regional Medical Cen- 835 Hospital Road ...... Indiana ...... PA ...... 15701 ter Cardiology Department. Ingalls Hospital ...... 1 Ingalls Drive ...... Harvey ...... IL ...... 60426 Ingham Regional Medical Cen- 401 W. Greenlawn Avenue ...... Lansing ...... MI ...... 48910 ter. Inland Valley Medical Center ... 36485 Inland Valley ...... Wildomar ...... CA ...... 92595 Inova Alexandria Hospital ...... 4320 Seminary Road ...... Alexandria ..... VA ...... 22304 Inova Fairfax Hospital/Inova Inova Heart and Vascular ...... Center 3300 Gallows Road ..... Falls Church VA ...... 22042–3300 Heart & Vascular Institute. Inova Loudoun Hospital ...... 44035 Riverside Parkway ...... Suite 120 ...... Leesburg ...... VA ...... 20176 Integris Baptist Medical Center 3300 NW Expressway, 100– ...... Oklahoma OK ...... 73112 4282. City. Integris Health ...... 600 S. Monroe Street ...... Enid ...... OK ...... 73701 Integris Southwest Medical 4401 S. Western Avenue ...... Oklahoma OK ...... 73109 Center. City.

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Facility name Address 1 Address 2 City State Zip

Iowa Lutheran Hospital ...... 1200 Pleasant Street ...... Des Moines ... IA ...... 50309 Iowa Methodist Medical Center 1200 Pleasant Street, Suite ...... Des Moines ... IA ...... 50309 300A. Iredell Memorial Hospital ...... 557 Brookdale Drive ...... Statesville ..... NC ...... 28687 Iroquois Memorial Hospital ...... 200 Fairman Avenue ...... Watseka ...... IL ...... 60970 Irvine Regional Hospital & 16200 Sand Canyon Avenue ...... Irvine ...... CA ...... 92618–3701 Medical Center. Jackson Hospital and Clinic ..... 1725 Pine Street ...... Montgomery .. AL ...... 36106 Jackson Madison General Hos- 708 West Forrest Avenue ...... Jackson ...... TN ...... 38301 pital. Jackson Memorial Hospital ...... 1611 NW 12th Avenue ...... Miami ...... FL ...... 33136 Jane Phillips Memorial Medical 3500 Frank Phillips Boulevard ...... Bartlesville .... OK ...... 74006 Center. Jeanes Hospital ...... 7600 Central Avenue ...... Philadelphia .. PA ...... 19111 Jeff Anderson Regional Med- 2124 14th Street ...... Meridian ...... MS ...... 39301 ical Center. Jefferson Memorial Hospital .... PO Box 350 ...... Crystal City ... MO ...... 63019 Jefferson Regional Medical 565 Coal Valley Road ...... Pittsburgh ...... PA ...... 15236–0119 Center. Jennie Edmundson Memorial 933 E. Pierce Street ...... Council Bluffs IA ...... 51503 Hospital. Jersey City Medical Center ...... 355 Grand Street ...... Jersey City .... NJ ...... 07307 Jersey Shore University Med- 1945 State Route 33 ...... Neptune ...... NJ ...... 07753 ical Center. Jewish Hospital ...... 200 Abraham Flexner Way ...... Louisville ...... KY ...... 40202 Jewish Hospital ...... 4777 East Galbraith Road ...... Cincinnati ...... OH ...... 45236 JFK Medical Center ...... 5631 Glencrest Boulevard ...... Tampa ...... FL ...... 33625–1008 John C Lincoln Hospital-Deer 19829 N. 27th Avenue ...... Phoenix ...... AZ ...... 85027–4002 Valley. John C Lincoln Hospital-North 250 E. Dunlap Avenue ...... Phoenix ...... AZ ...... 85020–2871 Mountain. John F. Kennedy Memorial 47–111 Monroe Street ...... Indio ...... CA ...... 92201 Hospital. John Muir—Concord ...... 2540 East Street ...... Concord ...... CA ...... 94520 John Muir—Walnut Creek ...... 1601 Ygnacio Valley Road ...... Walnut Creek CA ...... 94550 Johns Hopkins Bayview Med- 4940 Eastern Avenue ...... Baltimore ...... MD ...... 21224 ical Center. Johns Hopkins Hospital ...... 600 North Wolfe Street ...... Baltimore ...... MD ...... 21287 Johnson City Medical Center 400 N. State of Franklin ...... Johnson City TN ...... 37604 Hosp. Jordan Valley Hospital ...... 3580 W. 9000 Street ...... West Jordan UT ...... 84088 Kadlec Medical Center ...... 888 Swift Boulevard ...... Richland ...... WA ...... 99352 Kaiser Foundation Hospital ...... 1526 Edgemont Street ...... Los Angeles .. CA ...... 90027 Kaiser Foundation Hospital ...... 6600 Bruceville Road ...... Sacramento .. CA ...... 95823 Kaiser Permanente-Moanalua 3288 Moanalua Road ...... Honolulu ...... HI ...... 96819 Medical Center. Kaiser Permanente Medical 700 Lawrence Expressway ...... Santa Clara ... CA ...... 95051 Center-Santa Clara. Kaiser Permanente Medical 9400 E. Rosecrans Avenue ...... Bellflower ...... CA ...... 90706 CenterHealth Sciences Li- brary. Kaiser Sunnyside Medical Cen- 10180 SE Sunnyside Road ...... Clackamas .... OR ...... 97015 ter. Kaiser Walnut Creek ...... 4647 Zion Avenue ...... San Diego ..... CA ...... 92120 Kansas Heart Hospital ...... 3601 N. Webb Road ...... Wichita ...... KS ...... 67226 Kansas University Hospital Au- 3901 Rainbow Boulevard ...... Kansas City .. KS ...... 66160 thority. Kapi’olani Medical Center Pali 98–1079 Moanalua Road ...... Aiea ...... HI ...... 96701 Momi. Katherine Shaw Bethea Hos- 403 E. First Street ...... Dixon ...... IL ...... 61021 pital. Kaweah Delta Hospital District Kaweah Delta Hospital District 400 W. Mineral King Avenue .. Visalia ...... CA ...... 93291 Kenmore Mercy Hospital ...... 2950 Elmwood Avenue ...... Kenmore ...... NY ...... 14217 Kennestone Hospital ...... 677 Church Street ...... Marietta ...... GA ...... 30066 Kershaw County Medical Cen- 1315 Roberts Street ...... Camden ...... SC ...... 29020 ter. Kettering Medical Center ...... 35235 Southern Boulevard ...... Kettering ...... OH ...... 45429 Kingman Regional Medical 3269 Stockton Hill Road ...... Kingman ...... AZ ...... 86401 Center. Kings Daughters Medical Cen- 2201 Lexington Avenue ...... Ashland ...... KY ...... 41101 ter. Kingwood Medical Center ...... 22999 Highway 59 North ...... Kingwood ...... TX ...... 77339 Kootenai Medical Center ...... 2003 Lincoln Way ...... Coeur d’ ID ...... 83814 Alene.

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Facility name Address 1 Address 2 City State Zip

Kuakini Medical Center ...... 347 North Kuakini Street ...... Cardiac Cath Lab ...... Honolulu ...... HI ...... 96817 Labette County Medical Center 1920 S. U.S. Highway 59 , PO ...... Parson ...... KS ...... 67357 Box 956. Lafayette General Medical 1214 Coolidge Avenue ...... Lafayette ...... LA ...... 70505 Center. LaGrange Memorial Hospital ... 120 North Oak Street ...... Hinsdale ...... IL ...... 60521 Lahey Clinic ...... 41 Mall Road ...... Burlington ...... MA ...... 01805 Lake Charles Memorial Hos- 1701 Oak Park Boulevard ...... Lake Charles LA ...... 70601 pital. Lake Hospital System ...... 36000 Euclid Avenue ...... Willoughby .... OH ...... 44094 Lake Norman Regional Medical 171 Fairview Road ...... Mooresville .... NC ...... 28117 Center. Lake Pointe Medical Center ..... 6800 Scenic Drive ...... Rowlett ...... TX ...... 75088 Lake Regional Health System 54 Hospital Drive ...... Osage Beach MO ...... 65065 Lakeland Hospital ...... 1234 Napier Avenue ...... Saint Joseph MI ...... 49085–2112 Lakeland Regional Medical 1324 Lakeland Hills Boulevard ...... Lakeland ...... FL ...... 33805–4500 Center. Lakeside Hospital ...... 6901 N. 72nd Street, Suite ...... Omaha ...... NE ...... 68122 3300. Lakeview Regional Medical 95 East Fairway Drive ...... Covington ...... LA ...... 70433–7500 Center. Lakeway Regional Hospital ...... 726 McFarland Street ...... Morristown .... TN ...... 37814 Lakewood Hospital ...... 14519 Detroit Avenue ...... Lakewood ..... OH ...... 44107 Lakewood Ranch Medical Cen- 8330 Lakewood Ranch Boule- ...... Bradenton ..... FL ...... 34202 ter. vard. Lakewood Regional Medical 3700 E. South Street ...... Lakewood ..... CA ...... 90712 Center. Lancaster Community Hospital 43830 North 10th Street West ...... Lancaster ...... CA ...... 93534 Lancaster General Hospital ..... 555 North Duke Street ...... Lancaster ...... PA ...... 17604–3555 Lancaster Regional Medical 250 College Avenue ...... Lancaster ...... PA ...... 17604 Center. Landmark Medical Center ...... 115 Cass Avenue ...... Woonsocket .. RI ...... 02895 Lane Regional Medical Center 6300 Main Street ...... Zachary ...... LA ...... 70791 Lankenau Hospital ...... 100 Lancaster Avenue ...... Lankenau Hospital ...... Wynnewood .. PA ...... 19096 Laredo Medical Center ...... 1720 Bustamante Street ...... Laredo ...... TX ...... 78044 Largo Medical Center ...... 201 14th Street SW ...... Largo ...... FL ...... 33770 Las Colinas Medical Center ..... Las Colinas Medical Center ...... Irving ...... TX ...... 75039 Las Palmas Medical Center ..... 1801 N. Oregon Street ...... El Paso ...... TX ...... 79902 Lawrence & Memorial Hospital 365 Montauk Avenue ...... New London CT ...... 06375 Lawrence Hospital ...... 55 Palmer Avenue ...... Broxville ...... NY ...... 10708–3491 LDS Hospital ...... 8th Avenue and C Street ...... Salt Lake City UT ...... 84143 Lee Memorial Health System— 276 Cleveland Avenue ...... Fort Myers .... FL ...... 33901 Cape Coral Hospital. Lee Memorial Health System— 276 Cleveland Avenue ...... Fort Myers .... FL ...... 33901 Health Park Medical Center. Leesburg Regional Medical 600 East Dixie Avenue ...... Leesburg ...... FL ...... 34748 Center. Legacy Emanuel Hospital ...... 1919 NW Lovejoy Street ...... Portland ...... OR ...... 97209 Legacy Good Samaritan ...... 1919 NW Lovejoy Street ...... Portland ...... OR ...... 97209 Legacy Meridian Park ...... 19300 SW 65th Street ...... Tualatin ...... OR ...... 97062 Legacy Salmon Creek Hospital 1919 NW Lovejoy Street ...... Portland ...... OR ...... 97209 Lehigh Regional Medical Cen- 1500 Lee Boulevard ...... Lehigh Acres FL ...... 33963 ter. Lehigh Valley Hospital ...... 1200 S. Cedar Crest Boule- ...... Allentown ...... PA ...... 18105 vard. Lehigh Valley Hospital/Muhlen- 2545 Schoenersville Road ...... Bethlehem ..... PA ...... 18017 berg. Lenox Hill Heart and Vascular 100 East 77th Street ...... New York ...... NY ...... 10021 Institute of New York. Lewis Gale Medical Center ...... 1900 Electric Road ...... Salem ...... VA ...... 24153 Lexington Medical Center ...... 2720 Sunset Boulevard ...... West Colum- SC ...... 29169 bia. Liberty Hospital ...... 2525 Glenn Hendren Drive ...... Liberty ...... MO ...... 64068 Lima Memorial Hospital ...... 1001 Bellefontaine Avenue ...... Lima ...... OH ...... 45804 Lincoln County Medical Center 1000 E. Cherry Street ...... Troy ...... MO ...... 63379 Little Company of Mary Hos- 4101 Torrance Boulevard ...... Torrance ...... CA ...... 90503 pital. Little Company of Mary Hos- 2800 W. 95th Street ...... Evergreen IL ...... 60805 pital. Park. Logan General Hospital, LLC .. 20 Hospital Drive ...... Logan ...... WV ...... 25601 Loma Linda University Medical 11234 Anderson Street Room ...... Loma Linda ... CA ...... 92354 Center. 2431. Long Beach Memorial Medical 2801 Atlantic Avenue ...... Long Beach .. CA ...... 90806 Center.

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Facility name Address 1 Address 2 City State Zip

Long Island College Hospital ... 339 Hicks Street ...... Brooklyn ...... NY ...... 11201 Long Island Jewish Medical 270–05 76th Avenue ...... New Hyde NY ...... 11040 Center. Park. Longmont United Hospital ...... 1950 Mountain View Avenue ...... Longmont ...... CO ...... 80501 Longview Regional Medical PO Box 14000 ...... Longview ...... TX ...... 75607 Center. Los Alamitos Medical Center ... 3751 Katella Avenue ...... Los Alamitos CA ...... 90720 Los Robles Hospital & Medical 215 W. Janss Raod ...... Thousand CA ...... 91360–1899 Center. Oaks. Louisiana Heart Hospital ...... 64030 Louisiana Highway 434 ...... Lacombe ...... LA ...... 70445 Lourdes Hospital ...... 1530 Lone Oak Road ...... Paducah ...... KY ...... 42003 Lovelace Medical Center ...... 5400 Gibson Boulevard SE ...... Albuquerque NM ...... 87108 Lowell General Hospital ...... 295 Varnum Avenue ...... Lowell ...... MA ...... 01854 Lower Bucks Hospital ...... 501 Bath Road ...... Bristol ...... PA ...... 19007 Lower Keys Medical Center ..... 5900 College Road ...... Key West ...... FL ...... 33040 LSUHSC-Cath Lab ...... 1501 Kings Highway ...... Shreveport .... LA ...... 71130 Lubbock Heart Hospital ...... 4810 N. Loop 289 ...... Lubbock ...... TX ...... 79416 Luther Hospital ...... 1221 Whipple Street ...... Eau Claire ..... WI ...... 54703 Lutheran Hospital of Indiana .... 7950 W. Jefferson Boulevard ...... Ft. Wayne ..... IN ...... 46804 Lynchburg General Hospital .... 1901 Tate Springs Road ...... Lynchburg ..... VA ...... 24501–1167 MacNeal Hospital ...... 3249 S. Oak Park Avenue ...... Berwyn ...... IL ...... 60402 Magnolia Regional Health Cen- 611 Alcorn Drive ...... Corinth ...... MS ...... 38834 ter. Maimonides Medical Center Di- 4802 10th Avenue ...... Brooklyn ...... NY ...... 11219 vision of Cardiology. Maine Medical Center ...... 22 Bramhall Street ...... Portland ...... ME ...... 04102 Manatee Memorial Hospital ..... 206 2nd Street East ...... Bradenton ..... FL ...... 34208 Marian Medical Center ...... 1400 East Church Street ...... Santa Maria .. CA ...... 93454 Maricopa Medical Center ...... 2601 East Roosevelt Street ...... Phoenix ...... AZ ...... 85008 Marin General Hospital ...... 250 Bon Air Road ...... Greenbrae ..... CA ...... 94904 Marion General Hospital ...... 441 N. Wabash Avenue ...... Marion ...... IN ...... 46952 Marion General Hospital ...... 1000 McKinley Park Drive ...... Marion ...... OH ...... 43302–6397 Marquette General Hospital 580 W. College Avenue ...... Marquette ...... MI ...... 49855 System. Marshall University School of 420 West Magnetic Street ...... Huntington .... WV ...... 25701 Medicine. Martha Jefferson Hospital ...... 459 Locust Avenue ...... Charlottesville VA ...... 22902 Martin Memorial Medical Cen- 300 SE Hospital Avenue ...... Stuart ...... FL ...... 34994 ter. Mary Black Hospital ...... 1700 Skylyn Drive ...... Spartanburg .. SC ...... 29307 Mary Greeley Medical Center .. 1111 Duff Avenue ...... Ames ...... IA ...... 50010 Mary Hitchcock Memorial Hos- One Medical Center Drive ...... Lebanon ...... NH ...... 03756 pital. Mary Rutan Hospital ...... 205 Palmer Avenue ...... Bellefontaine OH ...... 43311 Mary Washington Hospital ...... 1001 Sam Perry Boulevard ...... Fredericks- VA ...... 22401 burg. Marymount Medical Center ...... 310 East 9th Street ...... London ...... KY ...... 40741 Massachusetts General Hos- 55 Fruit Street ...... Boston ...... MA ...... 02114 pital. Maury Regional Hospital ...... 1224 Trotwood Avenue ...... Columbia ...... TN ...... 38401 Mayo Clinic Arizona ...... 5777 E. Mayo Boulevard ...... Phoenix ...... AZ ...... 85054 Mayo Clinic-St. Mary’s Hospital 200 First Street SW ...... Rochester ..... MN ...... 55905 Mcalester Regional Health 1 Clark Bass Boulevard ...... McAlester ...... OK ...... 74501 Center. McAllen Medical Center ...... 301 W. Expressway 83 ...... McAllen ...... TX ...... 78503 MCG Health, Inc...... 1120 15th Street, BA–4407 ...... Augusta ...... GA ...... 30912 McKay-Dee Hospital Center .... 4401 Harrison Boulevard ...... Ogden ...... UT ...... 84405 McKee Medical Center ...... 2000 Boise Avenue ...... Loveland ...... CO ...... 80538 Mclaren Regional Medical Cen- 401 S. Ballenger Highway ...... Flint ...... MI ...... 48532 ter. McLeod Regional Medical Cen- 555 E. Chaves Street ...... Florence ...... SC ...... 29501 ter. Mease Countryside Hospital .... 3231 McCullen Booth Road ...... Safety Harbor FL ...... 34695 Mease Dunedin Hospital ...... 207 Jeffords Street, MS 142 ...... Clearwater .... FL ...... 33756 MedCentral/Mansfield Hospital 335 Glessner Avenue ...... Mansfield ...... OH ...... 44903 Medcenter One ...... 300 North 7th Street ...... Bismarck ...... ND ...... 58501 Medical Center at Bowling 250 Park Street ...... Bowling KY ...... 42101 Green. Green. Medical Center Hospital ...... 500 W. 4th Street ...... Odessa ...... TX ...... 79760 Medical Center of Arlington ..... 3301 Matlock Road ...... Arlington ...... TX ...... 76015 Medical Center of Aurora ...... 1501 S. Potomac Street ...... Aurora ...... CO ...... 80012 Medical Center of Central 777 Hemlock Street HB 53 ...... Macon ...... GA ...... 31208 Georgia. Medical Center of Lewisville .... 500 West Main Street ...... Lewisville ...... TX ...... 75057

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Facility name Address 1 Address 2 City State Zip

Medical Center of Louisiana .... 1541 Tulane Avenue, Room ...... New Orleans LA ...... 70112 #203, Butterworth Building. Medical Center of Mckinney .... 4500 Medical Center Drive ...... McKinney ...... TX ...... 75069 Medical Center of Mesquite ..... 1011 N. Galloway Avenue ...... Mesquite ...... TX ...... 75149 Medical Center of Plano ...... 3901 W 15th Street ...... Plano ...... TX ...... 75075–7738 Medical Center of South Arkan- 700 West Grove Street ...... El Dorado ...... AR ...... 71730 sas, LLC. Medical Center of the Rockies 2500 Rocky Mountain Avenue ...... Loveland ...... CO ...... 80538 Medical City Dallas Hospital .... 7777 Forrest Lane ...... Dallas ...... TX ...... 75230 Medical University of South 326 Calhoun Street—Suite ...... Charleston .... SC ...... 29401 Carolina. 239. Memorial Health System ...... 1400 E. Boulder Street ...... Colorado CO ...... 80909–5599 Springs. Memorial Health University Cardiac Cath Lab, Memorial 4700 Waters Avenue ...... Savannah ...... GA ...... 31404 Medical Center. Health University Medical Center. Memorial Hermann Hospital .... 6411 Fannin Street ...... Houston ...... TX ...... 77030 Memorial Hermann HVI South 7787 Southwest Freeway ...... Houston ...... TX ...... 77074 West. Memorial Hermann Memorial 921 Gessner Road ...... Houston ...... TX ...... 77024 City Hospital. Memorial Hospital ...... 2525 Desales Avenue ...... Chattanooga TN ...... 37404–1102 Memorial Hospital at Gulfport .. 4500 13th Street ...... PO Box 1810 ...... Gulfport ...... MS ...... 39502 Memorial Hospital Carbondale 405 W. Jackson Street ...... Carbondale ... IL ...... 65902 Memorial Hospital Miramar ...... 1901 SW 172 Avenue ...... Miramar ...... FL ...... 33029 Memorial Hospital of 320 Hospital Drive ...... Martinsville .... VA ...... 24112 Martinsville. Memorial Hospital of Rhode Is- 111 Brewster Street ...... Pawtucket ..... RI ...... 02860 land Brown University. Memorial Hospital of South 615 N. Michigan Street ...... South Bend ... IN ...... 46601–1033 Bend. Memorial Hospital of Tampa .... 2901 W Swann Avenue ...... Tampa ...... FL ...... 33609 Memorial Hospital Pembroke/ 7800 Sheridan Street ...... Pembroke FL ...... 33024 South Broward Hospital. Pines. Memorial Hospital West/South 703 North Flamingo Road ...... Pembroke FL ...... 33028 Broward Hospital District. Pines. Memorial Hospital-Jacksonville 3625 University Boulevard ...... Jacksonville .. FL ...... 32216 South. Memorial Hospitals Association 1700 Coffee Road ...... Modesto ...... CA ...... 95355 Memorial Medical Center ...... 701 N. First Street ...... Springfield ..... IL ...... 62781 Memorial Medical Center ...... 2450 S. Telshor Boulevard ...... Las Cruces ... NM ...... 88011 Memorial Medical Center ...... 1086 Franklin Street ...... Johnstown ..... PA ...... 15905–4398 Memorial Regional Hospital/ 703 North Flamingo Road ...... Pembroke FL ...... 33028 South Broward Hospital. Pines. Memphis Hospital (German- 1265 Union Avenue ...... Memphis ...... TN ...... 38104–3499 town Campus). Memphis Hospital (North Cam- 1265 Union Avenue ...... Memphis ...... TN ...... 38104–3499 pus). Memphis Hospital (South Cam- 1265 Union Avenue ...... Memphis ...... TN ...... 38104–3499 pus). Memphis Hospital (University 1265 Union Avenue ...... Memphis ...... TN ...... 38104–3499 Campus). Menifee Valley Medical Center 28400 McCell Boulevard ...... Sun City ...... CA ...... 92585 Menorah Medical Center ...... 5721 West 119th Street ...... Overland Park KS ...... 66209 Mercy Fitgerald Hospital ...... 1500 Lansdowne Avenue ...... Darby ...... PA ...... 19023 Mercy General Health Partners 1500 East Sherman Boulevard ...... Muskegon ..... MI ...... 49444 Mercy General Hospital—Sac- 3939 J Street ...... Suite 215 ...... Sacramento .. CA ...... 95819 ramento. Mercy Gilbert Medical Center .. 3555 South Val Vista Drive ..... Attn: Cardiac Cath Lab ...... Gilbert ...... AZ ...... 85296 Mercy Health System of North- 1200 West Walnut Street ...... Rogers ...... AR ...... 72756 western Arkansas. Mercy Hospital ...... 144 State Street ...... Portland ...... ME ...... 04101 Mercy Hospital-Scranton ...... 746 Jefferson Avenue ...... Scranton ...... PA ...... 18510 Mercy Hospital & Medical Cen- 2525 S. Michigan Avenue ...... Chicago ...... IL ...... 60616 ter. Mercy Hospital Attn: Accounts 3663 South Miami Avenue ...... Miami ...... FL ...... 33133 Payable. Mercy Hospital of Buffalo ...... 565 Abbott Road ...... Buffalo ...... NY ...... 14220 Mercy Hospital of Pittsburgh .... 1400 Locust Street ...... Pittsburgh ...... PA ...... 15219 Mercy Hospital Attn: A/P ...... 271 Carew Street, PO Box ...... Springfield ..... MA ...... 01102 9012. Mercy Iowa City ...... 500 E. Market Street ...... Cardiac Cath Lab ...... Iowa City ...... IA ...... 52245 Mercy Medical Center ...... 701 10th Street SE ...... Cedar Rapids IA ...... 52403 Mercy Medical Center ...... 801 5th Street ...... Sioux City ..... IA ...... 51101

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Facility name Address 1 Address 2 City State Zip

Mercy Medical Center ...... 1111 6th Street ...... Des Moines ... IA ...... 50314–2611 Mercy Medical Center ...... 301 St Paul Place ...... Baltimore ...... MD ...... 21202 Mercy Medical Center ...... 1000 North Village Avenue ...... Rockville Cen- NY ...... 11571 tre. Mercy Medical Center ...... 1320 Mercy Drive NW ...... Attn: SCU ...... Canton ...... OH ...... 44708 Mercy Medical Center ...... 1343 North Fountain Boule- ...... Springfield ..... OH ...... 45503 vard. Mercy Medical Center ...... 2700 Steward Parkway ...... Roseburg ...... OR ...... 97470 Mercy Medical Center ...... 500 S. Oakwood Road ...... Oshkosh ...... WI ...... 54904 Mercy Medical Center Merced 301 E. 13th Street ...... Merced ...... CA ...... 95340 Mercy Medical Center Redding 2175 Rosaline Avenue ...... PO Box 496009 ...... Redding ...... CA ...... 96049–6009 Mercy Medical Center-North 1000 4th Street SW ...... Mason City .... IA ...... 50401 Iowa. Mercy Regional Medical Center 1010 Three Springs Boulevard ...... Durango ...... CO ...... 81301 Mercy San Juan Hospital ...... 3941 J Street ...... c/o Mercy General Hospital Sacramento .. CA ...... 95819 Administration. MeritCare Hospital ...... MeritCare Hospital/Heart Serv- ...... Fargo ...... ND ...... 58122 ices Data/Research—Route 108. Meriter Hospital ...... 202 South Park Street ...... 10 Tower Heart Center ...... Madison ...... WI ...... 53715 Mesa General Hospital ...... 515 N. Mesa Drive ...... Mesa ...... AZ ...... 85201 Mesquite Community Hospital 3500 I–30 ...... Mesquite ...... TX ...... 75150 Methodist Health System ...... PO Box 655999 ...... Dallas ...... TX ...... 75203 Methodist Hospital ...... 6500 Excelsior Building, 2nd ...... St. Louis Park MN ...... 55426 floor HVC. Methodist Hospital ...... 7700 Floyd Curl Drive ...... San Antonio .. TX ...... 78229 Methodist Hospital of South CA 300 W. Huntington Drive ...... Arcadia ...... CA ...... 91007–3402 Methodist Hospital Northlake 600 Grant Street ...... Gary ...... IN ...... 46402 Campus. Methodist Hospital Southlake 8701 Broadway ...... Merrillville ...... IN ...... 46410–7035 Campus. Methodist Medical Center ...... 280 Fort Sanders Boulevard, ...... Knoxville ...... TN ...... 37922 Building 4, Suite 218. Methodist Medical Center of Il- 221 NE Glen Oak Avenue ...... Peoria ...... IL ...... 61636 linois. Methodist Speciality and Trans- 7700 Floyd Curl Drive ...... San Antonio .. TX ...... 78229 plant Hospital. Methodist Sugar Land Hospital 16655 Southwest Freeway ...... Sugar Land ... TX ...... 77479 Methodist Willowbrook Hospital 18220 Tomball Parkway ...... Houston ...... TX ...... 77070 Metro Health Hospital ...... 1919 Boston Street SE ...... Grand Rapids MI ...... 49546 MetroHealth Medical Center .... 2500 MetroHealth Drive ...... Cleveland ...... OH ...... 44109 Metroplex Hospital ...... 2201 South Clear Creek Road ...... Killeen ...... TX ...... 76549 MetroWest Medical Center ...... 115 Lincoln Street ...... Framingham .. MA ...... 01702–6327 Miami Valley Hospital ...... One Wyoming Street ...... Dayton ...... OH ...... 45409 Michael Reese Hospital ...... 2929 S. Ellis Avenue ...... Chicago ...... IL ...... 60616 Mid America Heart Institute ..... St. Lukes Hospital ...... 4401 Wornall Road ...... Kanasas City MO ...... 64111 Middletown Regional Hospital .. 105 McKnight Drive ...... Middletown .... OH ...... 45044–4838 Midland Memorial Hospital ...... 2200 W. Illinois Ave c/o Heart ...... Midland ...... TX ...... 79701 Institute. Midlands Community Hospital 6901 N. 72nd Street ...... Omaha ...... NE ...... 68122 MidMichigan Medical Center- 4005 Orchard Drive ...... Midland ...... MI ...... 48670 Midland. Midwest Regional Medical 2825 Parklawn Drive ...... Midwest City OK ...... 73110 Center. Milford Regional Medical Cen- 14 Prospect Street ...... Milford ...... MA ...... 01568 ter. Millard Fillmore Hospital ...... 100 High Street ...... Buffalo ...... NY ...... 14203 Millard Fillmore Suburban ...... 100 High Street ...... Buffalo ...... NY ...... 14203 Mills-Peninsula Hospital ...... 1783 El Camino Real ...... Burlingame .... CA ...... 94010 Mission Hospital Regional 27700 Medical Center Road ...... Mission Viejo CA ...... 92691–6426 Medical Center. Mission Hospitals, Inc...... 509 Biltmore Avenue ...... Asheville ...... NC ...... 28801–4690 Mission Regional Medical Cen- 900 S. Bryan Road ...... Mission ...... TX ...... 78572 ter. Mississippi Baptist Medical 1225 N. State Street ...... Jackson ...... MS ...... 39202–2097 Center. Missouri Baptist Medical Cen- 3015 N. Ballas Road ...... 3105 N. Ballas Road ...... Saint Louis .... MO ...... 63131–2374 ter. Moberly Regional Medical Cen- 1515 Union Avenue ...... Moberly ...... MO ...... 65270 ter. Mobile Infirmary Medical Cen- PO Box 21445 Mobile Infir- ...... Mobile ...... AL ...... 36652 ter. mary Circle. Monongalia General Hospital ... 1200 JD Anderson Drive ...... Morgantown .. WV ...... 26505 Montefiore Medical Center ...... 111 East 210th Street ...... Bronx ...... NY ...... 10467–2490

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Facility name Address 1 Address 2 City State Zip

Montgomery General Hospital 18101 Prince Phillip Drive ...... Olney ...... MD ...... 20832 Morris Hospital ...... 150 West High Street ...... Morris ...... IL ...... 60450 Morristown Memorial Hospital .. 100 Madison Avenue ...... Morristown .... NJ ...... 07962 Morton Plant Hospital ...... 207 Jeffords Street, MS 142 ...... Clearwater .... FL ...... 33756 Morton Plant North Bay Hos- 6600 Madison Street ...... New Port FL ...... 34652 pital. Richey. Moses Cone Health System .... 1200 N. Elm Street ...... Greensboro ... NC ...... 27401 Mother Frances Hospital ...... 800 E. Dawson Street ...... Tyler ...... TX ...... 75701 Mount Auburn Hospital ...... 330 Mount Auburn Street ...... South 2 Administration ...... Cambridge .... MA ...... 02138 Mount Carmel East ...... 6150 East Broad Street ...... Columbus ...... OH ...... 42313 Mount Carmel St. Anns Hos- 6150 East Broad Street ...... Columbus ...... OH ...... 43213 pital. Mount Carmel West ...... 6150 East Broad Street ...... Suite 505A ...... Columbus ...... OH ...... 43213 Mount Clemens General Hos- 1000 Harrington Street ...... Mount MI ...... 48043–2992 pital. Clemens. Mount Sinai Medical Center ..... 4300 Alton Road ...... Miami Beach FL ...... 33140 Mount St Mary’s Hospital ...... 5300 Military Road ...... Lewiston ...... NY ...... 14092 Mountainview Hospital ...... 3100 N. Tenaya Way ...... Las Vegas ..... NV ...... 89128 Munroe Regional Medical Cen- 1500 SW 1st Avenue PO Box ...... Ocala ...... FL ...... 34478 ter. 6000. Munson Medical Center ...... 1105 Sixth Street ...... Traverse City MI ...... 49684–2386 Muskogee Regional Medical 300 Rockefeller Drive ...... Muskogee ..... OK ...... 74401 Center. Nacogdoches Medical Center .. 4920 NE Stallings Drive ...... Nocogdoches TX ...... 75965 Naples Community Hospital ..... 350 7th Street South ...... Naples ...... FL ...... 34102 Nashoba Valley Medical Center 200 Groton Road ...... Ayer ...... MA ...... 01432 Natchez Community Hospital ... 129 Jefferson Davis Boulevard ...... Natchez ...... MS ...... 39120 Natchez Regional Medical 54 Sgt. Prentiss Drive ...... Natchez ...... MS ...... 39120 Center. Navapaches Regional Medical 2200 East Show Low Lake ...... Show Low ..... AZ ...... 85901 Center. Road. NEA Medical Center ...... 3024 Stadium Boulevard ...... Joneboro ...... AR ...... 72401 Nebraska Heart Hospital ...... 7500 South 91st Street ...... Lincoln ...... NE ...... 68526 Nebraska Methodist Hospital ... 8303 Dodge Street ...... Omaha ...... NE ...... 68114 New Hanover Regional Medical 2131 S. 17th Street ...... Wilmington .... NC ...... 28402 Center. New York Community Hospital 2525 Kings Highway ...... Brooklyn ...... NY ...... 11229 New York Hospital Medical 56–45 Main Street EP Lab/3rd ...... Flushing ...... NY ...... 11355 Center of Queens Health Floor. Education Library. New York Methodist Hospital ... 506 6th Street, Brooklyn ...... New York City NY ...... 11215 New York Presbyterian Hos- 622 West 168th Street ...... New York ...... NY ...... 10032 pital. Newark Beth Israel Medical 201 Lyons Avenue at Osborne ...... Newark ...... NJ ...... 07112 Center. Terrace. Niagara Falls Memorial Medical 621 Tenth Street ...... Niagara Falls NY ...... 14092 Center. Nicholas H. Noyes Memorial 111 Clara Barton Street ...... Dansville ...... NY ...... 14437 Hospital. Nix Healthcare System ...... 414 Navarro Street ...... San Antonio .. TX ...... 78205 Norman Regional Health Sys- PO Box 1308 ...... Norman ...... OK ...... 73070–1308 tem. North Austin Medical Center .... 12221 MoPac Expressway ...... Austin ...... TX ...... 78758 North. North Bay Medical Center ...... 1200 B. Gale Wilson Boule- ...... Fairfield ...... CA ...... 94533 vard. North Broward Medical Center 201 E. Sample Road ...... PomPano FL ...... 33064 Beach. North Carolina Baptist Hospital Medical Center Boulevard ...... Winston- NC ...... 27157 Salem. North Central Baptist Hospital 520 Madison Oak Drive ...... San Antonio .. TX ...... 78258 North Colorado Medical Center 1801 16th Street ...... Greeley ...... CO ...... 80631 North Florida Regional Medical 6500 Newberry Road ...... Gainesville .... FL ...... 32605 Center. North Kansas City Hospital ...... 2800 Clay Edwards Drive ...... North Kansas MO ...... 64116 City. North Memorial Medical Center 3300 Oakdale Avenue N...... Robbinsdale .. MN ...... 55422 North Mississippi Medical Cen- 830 S. Gloster Street ...... Tupelo ...... MS ...... 38801 ter. North Oaks Medical Center ..... 15790 Paul Vega MD Drive ...... Hammond ..... LA ...... 70403 North Ridge Medical Center .... 5757 N. Dixie Highway ...... Fort Lauder- FL ...... 33334 dale. North Shore Medical Center .... 1100 NW 95th Street ...... Miami ...... FL ...... 33150

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Facility name Address 1 Address 2 City State Zip

North Shore Medical Center- 81 Highland Avenue ...... Davenport 5 ...... Salem ...... MA ...... 01970 Salem Hospital. North Shore University Hospital 300 Community Drive ...... Manhasset .... NY ...... 11030 North Suburban Medical Cen- 9191 Grant Street ...... Denver ...... CO ...... 80229 ter. North Vista Hospital ...... 1409 E. Lake Mead Boulevard ...... North Las NV ...... 89030 Vegas. Northeast Baptist Hospital ...... 8811 Village Drive ...... San Antonio .. TX ...... 78217 Northeast Georgia Medical 743 Spring Street ...... Gainesville .... GA ...... 30501 Center. NorthEast Medical Center ...... 920 Church Street North ...... Concord ...... NC ...... 28025 Northeast Methodist Hospital ... 12412 Judson Road ...... Live Oak ...... TX ...... 78233 Northern Illinois Medical Center [email protected] ...... McHenry ...... IL ...... 60050 Northern Michigan Hospital ...... 416 Connable Avenue ...... Petoskey ...... MI ...... 49770 Northern Nevada Medical Cen- 2375 E Prater Way ...... Sparks ...... NV ...... 89434 ter. Northlake Medical Center ...... 1455 Montreal Road ...... Tucker ...... GA ...... 30084 Northridge Hospital Medical 18300 Roscoe Avenue ...... Northridge ..... CA ...... 91325 Center. Northshore Regional Medical 100 Medical Center Drive ...... Slidell ...... LA ...... 70461 Center. Northside Hospital ...... 6000 49th Street N ...... Pinellas Park FL ...... 33709 Northside Hospital ...... 1000 Johnson Ferry Road ...... Atlanta ...... GA ...... 30342 Northside Hospital-Forsyth ...... 1200 Northside Forsyth Drive ...... Cumming ...... GA ...... 30041 Northwest Community Hospital 800 W. Central Raod ...... Arlington IL ...... 60005 Heights. Northwest Hospital ...... 1550 North 115th Street ...... Seattle ...... WA ...... 98113 Northwest Medical Center ...... 2801 N. State Road 7 ...... Margate ...... FL ...... 33063 Northwest Medical Center- 3000 Medical Center Parkway ...... Bentonville .... AR ...... 72712 Bentonville. Northwest Medical Center- 609 West Maple Street ...... Springdale ..... AR ...... 72764 Springdale. Northwest Mississippi Regional 1970 Hospital Drive ...... Clarksdale ..... MS ...... 38614 Medical Center. Northwest Texas Surgical Hos- 3501 Soncy Road Suite 118 ...... Amarillo ...... TX ...... 79119 pital. Northwestern Memorial Hos- 676 North St Clair Suite 1700 ...... Chicago ...... IL ...... 60611 pital. Norton Audubon ...... P.O. Box 35070 ...... Louisville ...... KY ...... 40232 Norton Hospital ...... P.O. Box 35070 ...... Louisville ...... KY ...... 40232 Norwalk Hospital ...... 24 Stevens Street ...... Norwalk ...... CT ...... 06856 NYU Medical Center ...... 560 First Avenue, TCH 576 ...... New York ...... NY ...... 10016 Cath Lab. Oak Hill Hospital ...... 11375 Cortez Boulevard ...... Brooksville .... FL ...... 34613 Oakwood Hospital & Medical 18101 Oakwood Boulevard, ...... Dearborn ...... MI ...... 48124 Center. Suite 124. Obici Hospital ...... 2800 Godwin Boulevard ...... Suffolk ...... VA ...... 23434 Ocala Regional Medical Center 1431 SW First Avenue ...... Ocala ...... FL ...... 34474 Ocean Springs Hospital ...... 3109 Bienville Boulevard ...... Oceansprings MS ...... 39564 Ochsner Medical Center-Baton 17000 Medical Center Drive ...... Baton Rouge LA ...... 70816 Rouge. Ochsner Medical Center-West 2500 Belle Chasse Highway ...... Gretna ...... LA ...... 70056 Bank. Ochsner Medical Center- 180 West Esplanade Avenue ...... Kenner ...... LA ...... 70065 Kenner (Kenner Regional Medical Center). Ochsner Medical Foundation ... 1514 Jefferson Highway ...... New Orleans LA ...... 70121 O’Connor Hospital ...... 2105 Forest Avenue ...... San Jose ...... CA ...... 95128 Odessa Regional Hospital ...... 520 East Sixth Street ...... Odessa ...... TX ...... 79760 Ogden Regional Medical Cen- 5475 South 500 East ...... Ogden ...... UT ...... 84403 ter. Ohio State University Medical 410 W. 10th Avenuel ...... 1420 Doan Hal ...... Columbus ...... OH ...... 43210–1228 Center. Ohio Valley Medical Center ..... 2000 Eoff Street ...... Wheeling ...... WV ...... 26003 Oklahoma Heart Hospital ...... 4050 W. Memorial Road ...... Oklahoma OK ...... 73120 City. Oklahoma State University 744 W. 9th Street ...... Tulsa ...... OK ...... 74127 Medical Center. Olathe Medical Center ...... 20333 W. 151 Street ...... Olathe ...... KS ...... 66061–7211 Opelousas General Health 539 E. Prudhomme Street ...... Opelousas ..... LA ...... 70570 System. Orange Coast Memorial Med- 9920 Talbert Avenue ...... Fountain Val- CA ...... 92708 ical Center. ley.

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Facility name Address 1 Address 2 City State Zip

Orange Regional Medical Cen- 60 Prospect Avenue ...... Middletown .... NY ...... 10940 ter. Oregon Health & Science Uni- 3181 SW Sam Jackson Road ...... Portland ...... OR ...... 97239 versity. Orlando Regional Medical Cen- 1414 Kuhl Avenue ...... Orlando ...... FL ...... 32806 ter. Osceola Regional Medical 700 W. Oak Street ...... Kissimmee .... FL ...... 34745 Center. OSF Saint Anthony Medical 5666 East State Street ...... Rockford ...... IL ...... 61108 Center. OSF Saint Joseph Medical 2200 E. Washington Street ...... Bloomington .. IL ...... 61701 Center. OSF Saint Francis Medical 530 NE Glen Oak Avenue ...... Peoria ...... IL ...... 61637 Center. OU Medical Center ...... 700 NE 13th Street ...... Oklahoma OK ...... 73104 City. Our Lady of Lourdes Medical 1600 Haddon Avenue ...... Camden ...... NJ ...... 08103 Center. Our Lady of Lourdes Regional 611 St Landry (PO Box 4027) ...... Lafayette ...... LA ...... 70506 Medical Center. Our Lady of The Lake Regional 5000 Hennessy Boulevard ...... Baton Rouge LA ...... 70808–4350 Medical Center. Our Lady of the Resurrection 5645 W. Addison Street ...... Chicago ...... IL ...... 60634 Medical Center. Overlake Hospital Medical 1035—116th Avenue NE ...... Bellevue ...... WA ...... 98004 Center. Overland Park Regional Med- 10500 Quivira Road ...... Overland Park KS ...... 66215 ical Center/Health Midwest. Owensboro Medical Health 811 E. Parrish Avenue ...... Owensboro ... KY ...... 42303 System. Ozarks Medical Center ...... 1100 Kentucky Avenue ...... West Plains ... MO ...... 65775 P and S Surgical Hospital ...... 312 Grammont Street ...... Monroe ...... LA ...... 71201 Palm Beach Gardens Medical 3360 Burns Road ...... Palm Beach FL ...... 33410 Center. Gardens. Palmetto General Hospital ...... 2001 West 68th Street ...... Hialeah ...... FL ...... 33016 Palmetto Health Heart Hospital 5 Richland Medical Park Drive ...... Columbia ...... SC ...... 29203 Palomar Medical Center ...... 555 East Valley Parkway ...... Escondido ..... CA ...... 92025 Palos Community Hospital ...... 12251 S. 80th Avenue ...... Palos Heights IL ...... 60463–0930 Paoli Hospital ...... 100 Lancaster Avenue ...... Wynnewood .. PA ...... 19096 Paradise Valley Hospital ...... 3929 E. Bell Road ...... Phoenix ...... AZ ...... 85023 Paradise Valley Hospital ...... 2400 E. Fourth Street ...... National City CA ...... 91950 Paris Regional Medical Center 820 Clarksville Street ...... Paris ...... TX ...... 75460 Park Plaza Hospital ...... 1313 Hermann Drive ...... Houston ...... TX ...... 77004 Parkland Health and Hospital 5201 Harry Hines Boulevard ...... Dallas ...... TX ...... 75235 Systems. Parkridge Medical Center ...... 2333 McCallie Avenue ...... Chattanooga TN ...... 37404 Parkview Hospital ...... 2200 Randallia Drive ...... Fort Wayne ... IN ...... 46805 Parkview Hospital ...... 1726 Shawano Avenue ...... Green Bay .... WI ...... 54303–3282 Parkview Medical Center ...... 400 West 16th Street ...... Pueblo ...... CO ...... 81003 Parkway Regional Medical 160 N.W. 170th Street ...... North Miami .. FL ...... 33169 Center. Parkwest Medical Center ...... 9352 Parkwest Boulevard ...... Knoxville ...... TN ...... 37932 Parma Community General 7007 Powers Boulevard ...... Parma ...... OH ...... 44129 Hospital. Parrish Medical Center ...... 951 N. Washington Avenue ...... Titusville ...... FL ...... 32796 Pasco Regional Medical Center 13000 100 Fort King Road ...... Dade City ...... FL ...... 33525 PBI Regional Medical Center ... 350 Boulevard ...... Passaic ...... NJ ...... 07055 Peace River Regional Medical 2500 Harbor Boulevard ...... Port Charlotte FL ...... 33952 Peconic Bay Medical Center .... 1300 Roanoake Avenue ...... Riverhead ..... NY ...... 11901 Peninsula Regional Medical 100 East Carroll Street ...... Salisbury ...... MD ...... 21801 Center. Penn Presbyterian Medical 39th & Market Streets ...... Philadelphia .. PA ...... 19104 Center. Penn State Hershey Medical PO Box 850 H139 ...... Hershey ...... PA ...... 17033 Center. Pennsylvania Hospital ...... 800 Spruce Street ...... Philadelphia .. PA ...... 19107–6192 Penrose-St. Francis Health 2222 North Nevada, #220 ...... Colorado CO ...... 80907 Services. Springs. Phelps County Regional Med- 1000 W. 10th Street ...... Rolla ...... MI ...... 65401 ical Center. Phoenix Baptist Hospital ...... 2000 W. Bethany Home Road ...... Phoenix ...... AZ ...... 85015 Phoenixville Hospital ...... 140 Nutt Road ...... Phoenixville ... PA ...... 19460–3906 Physicians Medical Center 1600 Carraway Boulevard ...... Birmingham ... AL ...... 35234 Carraway.

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Facility name Address 1 Address 2 City State Zip

Piedmont Hospital ...... 95 Collier Road Suite 5005 ...... Atlanta ...... GA ...... 30309 Piedmont Medical Center ...... 222 S. Herlong Avenue ...... Rock Hill ...... SC ...... 29732 Pikeville Medical Center ...... 911 Bypass Road ...... Pikeville ...... KY ...... 41501 Pinnacle Health Invasive Cardi- 111 South Front Street ...... Harrisburg ..... PA ...... 17101–2099 ology. Pioneer Valley Hospital ...... 3590 West 9000 South, Suite ...... West Jordan, UT ...... 84088 315. Pitt County Memorial Hospital 2100 Stantonsburg Road ...... Greenville ...... NC ...... 27834–2832 Plantation General Hospital ..... 401 NW 42nd Avenue ...... Plantation ...... FL ...... 33317 Plaza Medical Center of Fort 900 Eighth Avenue ...... Fort Worth ..... TX ...... 76104 Worth. Pocono Medical Center ...... 206 East Brown Street ...... East PA ...... 18301 Stroudsburg. Pomona Valley Hospital Med- 1798 N. Garey Avenue ...... Pomona ...... CA ...... 91722 ical Center. Pontiac Osteopathic Hospital ... 50 North Perry Street ...... Pontiac ...... MI ...... 48342 Poplar Bluff Regional Medical 2620 N. Westwood Boulevard ...... Poplar Bluff ... MO ...... 63901 Center. Port Huron Hospital ...... 1221 Pine Grove Avenue ...... Port Huron .... MI ...... 48060 Porter Adventist Hospital ...... 2525 S Downing Street— ...... Denver ...... CO ...... 80210–5817 Mailstop 33F. Porter Valparaiso Hospital 814 Laporte Avenue ...... Valparaiso ..... IN ...... 46383 Campus. Portneuf Medical Center ...... 651 Memorial Drive ...... Pocatello ...... ID ...... 83201 Portsmouth Regional Hospital 333 Borthwick Avenue ...... Portsmouth ... NH ...... 03801 Poudre Valley Hospital ...... 2500 Rocky Mountain Avenue ...... Loveland ...... CO ...... 80538 Prairie Lakes Healthcare ...... 401 9th Avenue NW ...... Box 1210 ...... Watertown ..... SD ...... 57201 Presbyterian Healthcare Serv- PO Box 26666 ...... Albuqerque ... NM ...... 87125 ices. Presbyterian Hospital ...... 200 Hawthorne Lane ...... Charlotte ...... NC ...... 28204 Presbyterian Hospital of Dallas Presbyterian Hospital ...... 8200 Walnut Hill Lane ...... Dallas ...... TX ...... 75231 Presbyterian Hospital of Plano 6200 West Parker Road ...... Plano ...... TX ...... 75093–7914 Presbyterian Intercommunity 12401 Washington Boulevard ...... Whittier ...... CA ...... 90602 Hospital. Presbyterian/St.Lukes Medical 1719 E. 19th Avenue—CV ...... Denver ...... CO ...... 80218–1235 Center. Registry. Prince George’s Hospital Cen- 3001 Hospital Drive ...... Cheverly ...... MD ...... 20785 ter. Princeton Baptist Medical Cen- 701 Princeton Avenue ...... Birmingham ... AL ...... 35211–1399 ter. Proctor Hospital ...... 5409 N. Knoxville Avenue ...... Peoria ...... IL ...... 61614 Protestant Memorial Medical 4500 Memorial Drive ...... Belleville ...... IL ...... 62226 Center. Provena Covenant Medical 1400 West Park Street ...... Urbana ...... IL ...... 61801–9901 Center. Provena Mercy Medical Center 1325 North Highland Avenue ...... Aurora ...... IL ...... 60506 Provena Saint Joseph Medical 333 N. Madison Street ...... Joliet ...... IL ...... 60435 Center. Provena Saint Marys Hospital 500 West Court Street ...... Kankakee ...... IL ...... 60901 Providence Alaska Medical 3200 Providence Drive ...... Anchorage .... AK ...... 99508–4662 Center. Providence Everett Medical 1321 Coby Avenue ...... PO Box 1147 ...... Everett ...... WA ...... 98206–1147 Center. Providence Health Center ...... 6901 Medical Parkway ...... Waco ...... TX ...... 76712 Providence Holy Cross Medical 15031 Rinaldi Street ...... Mission Hills .. CA ...... 91346 Center. Providence Hospital ...... 6801 Airport Boulevard ...... Mobile ...... AL ...... 36608 Providence Hospital ...... 2435 Forest Drive ...... Columbia ...... SC ...... 29204 Providence Medford Medical ... 1111 Crater Lake Avenue ...... Medford ...... OR ...... 97504 Providence Medical Center ...... 8929 Parallel Parkway ...... Kansas City .. KS ...... 66112–1689 Providence Memorial Hospital 2001 North Oregon ...... El Paso ...... TX ...... 79902 Providence Portland Medical 9205 SW Barnes Road ...... 9205 SW Barnes Road ...... Portland ...... OR ...... 97225 Center. Providence Saint Joseph Med- 501 South Buena Vista ...... Burbank ...... CA ...... 91505 ical Center. Providence Saint Vincent Med- Regional Heart Data Services 9205 South West Barnes Portland ...... OR ...... 97225 ical Center. Road #33. Providence St. Peter Hospital .. 413 N. Lilly Road ...... Olympia ...... WA ...... 98506 Queen of the Valley Medical 1000 Trancas Street ...... Napa ...... CA ...... 94558 Center. Queens Medical Center ...... 1301 Punchbowl Street ...... Honolulu ...... HI ...... 96813 Rancho Spring Medical Center 36485 Inland Valley ...... Wildomar ...... CA ...... 92595 Rankin Medical Center ...... 350 Crossgates Boulevard ...... Brandon ...... MS ...... 39042 Rapid City Regional Hospital ... 353 Fairmont Boulevard ...... Rapid City ..... SD ...... 57702

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Facility name Address 1 Address 2 City State Zip

Rapides Regional Medical 211 4th Street (Box 30101) ...... Alexandria ..... LA ...... 71301 Center. Redmond Regional Medical 501 Redmond Road ...... Rome ...... GA ...... 30165 Center. Regents of the University of 2929 Plymouth Rd Suite 210 ...... Ann Arbor ..... MI ...... 48105 Michigan. Regional Hospital of Jackson .. 367 Hospital Boulevard ...... Jackson ...... TN ...... 38305 Regional Medical Center ...... 400 East 10th Street ...... Anniston ...... AL ...... 36202 Regional Medical Center ...... 225 N. Jackson Street ...... San Jose ...... CA ...... 95116 Regional Medical Center ...... 900 Hospital Drive ...... Madisonville .. KY ...... 42431–1644 Regional Medical Center ...... 3000 St. Matthews Road ...... Orangeburg ... SC ...... 29118 Regional Medical Center Bayo- 1400 Fivay Road ...... Hudson ...... FL ...... 34667 net Point. Regions Hospital ...... 640 Jackson Street ...... St. Paul ...... MN ...... 55101 Reid Hospital & Healthcare 1401 Chester Boulevard ...... Richmond ...... IN ...... 47374 Services. Renown Regional Medical 1155 Mill Street ...... R 11 ...... Reno ...... NV ...... 89502 Center. Research Medical Center ...... 2316 East Meyer Boulevard ...... Kansas City .. MO ...... 64132 Reston Hospital Center ...... 1850 Town Center Parkway ...... Reston ...... VA ...... 20190 Resurrection Medical Center ... 7435 W. Talcott Avenue ...... Chicago ...... IL ...... 60631 Rex Hospital ...... 4420 Lake Boone Trail ...... Raleigh ...... NC ...... 27607 Rhode Island Hospital ...... 593 Eddy Street ...... Providence .... RI ...... 02903 Richmond University Medical 355 Bard Avenue ...... Staten Island NY ...... 10310 Center. Rideout Memorial Hospital ...... 726 4th Street ...... Maryville ...... CA ...... 95901 Ridgecrest Regional Hospital ... 1081 N. China Lake Boulevard ...... Ridgecrest ..... CA ...... 93555 Riley Hospital ...... 1102 Constitution Avenue ...... Meridian ...... MS ...... 39301 Rio Grande Regional Hospital 101 E. Ridge Road ...... McAllen ...... TX ...... 78503 River Oaks Hospital ...... 1030 River Oaks Drive ...... Jackson ...... MS ...... 39232 River Region Medical Center ... 2100 Highway 61 North ...... Vicksburg ...... MS ...... 39180 Riverside Community Hospital 4445 Magnolia Avenue ...... Riverside ...... CA ...... 92501 Riverside Methodist Hospital ... 3535 Olentangy River Road ...... Columbus ...... OH ...... 43214 Riverside Regional Medical 500 J Clyde Morris Boulevard ...... Newport VA ...... 23601 Center. News. Riverview Hospital ...... 395 Westfield Road ...... Noblesville .... IN ...... 46060 Riverview Regional Medical 600 South Third Street ...... Gadsden ...... AL ...... 35901 Center. Robert Packer Hospital ...... 1 Guthrie Square ...... Sayre ...... PA ...... 18840 Robinson Memorial Hospital .... 6847 N. Chestnut Street ...... Ravenna ...... OH ...... 44266 Rochester General Hospital ..... 1425 Portland Avenue ...... Rochester ..... NY ...... 14621 Rockford Memorial Hospital ..... 2400 N. Rockton Avenue ...... Rockford ...... IL ...... 61103 Rogue Valley Medical Center .. 2825 E. Barnett Road ...... Medford ...... OR ...... 97504 Roper Hospital ...... 316 Calhoun Street ...... Charleston .... SC ...... 29401 Rose Medical Center ...... 4567 E. 9th Avenue ...... Denver ...... CO ...... 80220–3941 Round Rock Medical Center .... 2400 Round Rock Avenue ...... Round Rock .. TX ...... 78681 Rush Hospital ...... 1314 19th Avenue ...... Meridian ...... MS ...... 39301 Rush North Shore Medical 9600 Gross Point Road ...... Skokie ...... IL ...... 60076 Center. Rush University Medical Center 1653 West Congress Parkway ...... Chicago ...... IL ...... 60612 Rush-Copley Medical Center 2000 Ogden Avenue ...... Aurora ...... IL ...... 60504 Attn: Health Science Lib. Russell Medical Center ...... 3316 Highway 280 (P.O. Box ...... Alexander AL ...... 35011 939). City. Russellville Hospital ...... 15155 Highway 43 ...... Russellville .... AL ...... 35653 Rutland Regional Medical Cen- 160 Allen Street ...... Rutland ...... VT ...... 05701 ter. Sacred Heart Hospital of Pen- 5151 North 9th Avenue ...... Pensacola ..... FL ...... 32504 sacola. Sacred Heart Hospital Attn: A/ 900 W. Clairemont Avenue ...... Eau Claire ..... WI ...... 54701 P. Sacred Heart Medical Center .. 1155 Hilyard Street ...... Eugene ...... OR ...... 97401 Sacred Heart Medical Center .. 101 W. Eighth Avenue ...... Spokane ...... WA ...... 99204 Saddleback Memorial Medical 24451 Health Center Drive ...... Laguna Hills .. CA ...... 92653 Center. Saint Agnes Medical Center .... 1303 East Herndon Avenue ...... Fresno ...... CA ...... 93720 Saint Anthony Medical Center 1201 S. Main Street ...... Crown Point .. IN ...... 46307 Saint Anthonys Medical Center 10010 Kennerly Road ...... Saint Louis .... MO ...... 63128–2106 Saint Bernadine Medical Cen- 2101 N. Waterman Avenue .... 2101 N. Waterman Avenue .... San CA ...... 92404–4836 ter. Bernardino. Saint Clare’s Hospital ...... 611 St. Joseph’s Avenue ...... Marshfield ..... WI ...... 54449 Saint Elizabeth Health Center .. 1044 Belmont Avenue ...... Youngstown .. OH ...... 44501 Saint Elizabeth Hospital ...... 1611 S. Madison Street ...... Appleton ...... WI ...... 54915

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Facility name Address 1 Address 2 City State Zip

Saint Elizabeth Medical Center- 1 Medical Village Drive ...... Edgewood ..... KY ...... 41017 South. Saint Elizabeth Regional Med- 555 S. 70th Street ...... Lincoln ...... NE ...... 68510–2462 ical Center. Saint Elizabeths Hospital ...... 211 South 3rd Street ...... Belleville ...... IL ...... 62220–1915 Saint Francis Heart Hospital .... 10501 E. 91st Street South ...... Tulsa ...... OK ...... 74133 Saint Francis Hospital ...... 2122 Manchester Expressway ...... Columbus ...... GA ...... 31904 Saint Francis Hospital ...... 6161 S. Yale Avenue ...... Tulsa ...... OK ...... 74136 Saint Francis Hospital ...... 5959 Park Ave ...... Memphis ...... TN ...... 38119 Saint Francis Hospital & Health 8111 S. Emerson Avenue ...... Indianapolis ... IN ...... 46237 Center. Saint Francis Hospital & Med- 118 Woodland Street ...... Hartford ...... CT ...... 06105 ical Center. Saint Francis Hospital and 12935 Gregory Street ...... Blue Island .... IL ...... 60406–2470 Health Center. Saint Francis Hospital of 355 Ridge Avenue ...... Evanston ...... IL ...... 60202 Evanston. Saint John Hospital & Medical 22151 Moross Road ...... Professional Building #1, #126 Detroit ...... MI ...... 48236–2148 Center. Saint John Macomb Hospital ... 11800 E. 12 Mile Road ...... Room #2510 ...... Warren ...... MI ...... 48093 Saint Johns Health Center ...... 1328 Twenty Second Street ...... Santa Monica CA ...... 90404 Saint Johns Mercy Medical 615 S. New Ballas Road ...... Saint Louis .... MO ...... 63141–8221 Center. Saint Joseph Hospital ...... St Josephs Hospital & Medical 350 West Thomas Road ...... Phoenix ...... AZ ...... 85013 Center. Saint Joseph Hospital ...... 2700 Dolbeer Street ...... Eureka ...... CA ...... 95501–4799 Saint Joseph Hospital ...... 1100 West Stewart Drive ...... Orange ...... CA ...... 92868 Saint Joseph Hospital ...... 3001 W. Martin Luther King ...... Tampa ...... FL ...... 33607 Boulevard. Saint Joseph Hospital ...... 2900 N. Lake Shore Drive ...... Chicago ...... IL ...... 60657–6274 Saint Joseph Hospital 77 North Airlite Street ...... Elgin ...... IL ...... 60123–4912 (Provena). Saint Joseph Medical Center ... 1717 South J Street ...... Tacoma ...... WA ...... 98405–4933 Saint Joseph Regional Health 2801 Franciscan Street ...... Bryan ...... TX ...... 77802–2544 Center. Saint Josephs Hospital ...... 1824 Murdoch Avenue ...... Parkersburg .. WV ...... 26102–0327 Saint Josephs Hospital/ 611 St. Joseph Avenue ...... Marshfield ..... WI ...... 54449–1832 Marshfield Clinic. Saint Josephs Hospital of At- 5665 Peachtree Dunwoody ...... Atlanta ...... GA ...... 30342 lanta. Road. Saint Louis University Hospital 3635 Vista at Grand ...... Saint Louis .... MO ...... 63110 Saint Lukes Hospital ...... 1026 A Avenue, North East ...... Cedar Rapids IA ...... 52406–3026 Saint Lukes Hospital ...... 232 S. Woods Mill Road ...... Heart Failure Center ...... Chesterfield ... MO ...... 63017–3417 Saint Luke’s Hospital ...... 4401 Wornall Road (MAHI 5th ...... Kansas City .. MO ...... 64111 Floor). Saint Lukes Regional Medical 190 E. Bannock Street ...... Boise ...... ID ...... 83712–6241 Center. Saint Margaret Mercy ...... 5454 S. Hohman Avenue ...... Hammond ..... IN ...... 46320 Saint Mary Corwin Medical 1008 Minnequa Avenue ...... Pueblo ...... CO ...... 81004–3798 Center. Saint Mary Mercy Hospital ...... 36475 West Five Mile Road ...... Livonia ...... MI ...... 48154 Saint Mary’s Hospital ...... 56 Franklin Street ...... Waterbury ..... CT ...... 06706 Saint Marys Hospital and Re- 2635 N. 7th Street ...... Grand Junc- CO ...... 81501–8209 gional Medical Center. tion. Saint Marys Medical Center ..... 3700 Washington Avenue ...... Evansville ...... IN ...... 47750 Saint Marys Medical Center ..... 2900 First Avenue ...... Huntington .... WV ...... 25702 Saint Mary’s Medical Center .... 450 Stanyan Street ...... San Francisco CA ...... 94117 Saint Mary’s Regional Medical 235 W. Sixth Street ...... Reno ...... NV ...... 89503 Center. Saint Peter’s Hospital ...... 315 South Manning Boulevard ...... Albany ...... NY ...... 12208 Saint Ritas Medical Center ...... 730 West Market Street ...... Lima ...... OH ...... 45801–4602 Saint Thomas Health Care 4220 Harding Road ...... Nashville ...... TN ...... 37202–0380 Services. Saint Vincent Health Center .... 232 West 25th Street ...... Erie ...... PA ...... 16544 Saint Vincent Hospital ...... 123 Summer Street ...... Worcester ..... MA ...... 01608 Saint Vincent Hospital Manhat- 170 W. 12th Street ...... New York ...... NY ...... 10011 tan. Saint Vincent Medical Center/ 2 St. Vincent Circle ...... Little Rock ..... AR ...... 72205 Health Center. Saint Vincents Medical Center 2800 Main Street ...... Bridgeport ..... CT ...... 06606 Salem Hospital (Regional 665 Winter Street, SE ...... Salem ...... OR ...... 97309–5014 Health Services). Salina Regional Health Center 400 S. Santa Fe Avenue ...... Salina ...... KS ...... 67401

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Facility name Address 1 Address 2 City State Zip

Salinas Valley Memorial Hos- 450 E Romie Lane ...... Salinas ...... CA ...... 93901–4098 pital. Salt Lake Regional Medical 1050 East South Temple ...... Salt Lake ...... UT ...... 84102 Center. San Antonio Community Hos- 999 San Bernardino Road ...... Upland ...... CA ...... 91786 pital. San Francisco Heart and Vas- 1900 Sullivan Avenue ...... Daly City ...... CA ...... 94015 cular Institute. San Jacinto Methodist Hospital 4401 Garth Road ...... Baytown ...... TX ...... 77521 San Joaquin Community Hos- 2615 Eye Street ...... Bakersfield .... CA ...... 93301 pital. San Juan Regional Medical 801 West Maple ...... Farmington .... NM ...... 87401 Center. San Ramon Regional Medical 6001 Norris Canyon Road ...... San Ramon ... CA ...... 94583 Center. Sand Lake Hospital ...... 1414 Kuhl Avenue ...... Orlando ...... FL ...... 32806 Sanford USD Medical Center .. 1305 West 18th Street ...... Sioux Falls .... SD ...... 57117 Santa Barbara Cottage Hos- PO Box 689 ...... Santa Barbara CA ...... 93102–0689 pital. Santa Rosa Memorial Hospital 1165 Montgomery Drive PO ...... Santa Rosa ... CA ...... 95402 Box 522. Santa Teresa Community Hos- 250 Hospital Parkway, 1st ...... San Jose ...... CA ...... 95119 pital. Floor Cath Office. Sarasota Memorial Hospital ..... 1700 S. Tamiami Trail ...... Sarasota ...... FL ...... 34239 Satilla Heart Center ...... 410 Darling Avenue ...... Waycross ...... GA ...... 31501 Scott and White Clinic and 2401 S. 31 Street, Alexander ...... Temple ...... TX ...... 76508 Hospital. Building, 218–E. Scottsdale Healthcare Osborn 7400 E. Osborn Road ...... Scottsdale ..... AZ ...... 85260 Scottsdale Healthcare Shea .... 9003 E. Shea Boulevard-Ad- ...... Scottsdale ..... AZ ...... 85260 ministration. Scripps Green Hospital-La 10666 North Torrey Pines ...... La Jolla ...... CA ...... 92037 Jolla. Road. Scripps Memorial Hospital 354 Santa Fe Drive ...... Encinitas ...... CA ...... 92024 Encinitas. Scripps Memorial Hospital-La 9888 Genesee Avenue LJ101 ...... La Jolla ...... CA ...... 92037 Jolla. Scripps Mercy Hospital-San 4077 5th Avenue, MER 74 ...... San Diego ..... CA ...... 92103 Diego. Scripps Mercy Hosptial-Chula 435 H Street ...... Chula Vista ... CA ...... 91910 Vista. Sebastian River Medical Cen- 13695 U.S. Highway 1 ...... Sebastian ...... FL ...... 32962 ter. Self Regional Healthcare ...... 1325 Spring Street ...... Greenwood ... SC ...... 29646 Sentara Norfolk General Hos- 600 Gresham Drive ...... Norfolk ...... VA ...... 23507 pital. Sentara Obici Hospital ...... 2800 Goodwin Boulevard ...... Suffolk ...... VA ...... 23434 Sentara Virginia Beach Gen- 1060 First Colonial Road ...... Virginia Beach VA ...... 23454–0685 eral Hospital. Sequoia Hospital ...... Whipple & Alameda Avenues 170 Alameda de Las Pulgas ... Redwood City CA ...... 94062 Seton Medical Center ...... 1201 W. 38th Street ...... Austin ...... TX ...... 78705 Shady Grove Adventist Hos- 9901 Medical Center Drive ...... Rockville ...... MD ...... 20850 pital. Shands at AGH ...... 801 SW 2nd Avenue ...... Gainesville .... FL ...... 32601 Shands Jacksonville Medical 2000 Jefferson Street ...... Jacksonville .. FL ...... 32209–6511 Center. Sharp Chula Vista Medical 8695 Spectrum Center Court ...... San Diego ..... CA ...... 92123 Center. Sharp Grossmont ...... 5555 Grossmont Center Drive ...... La Mesa ...... CA ...... 91942 Sharp Memorial Hospital ...... 7901 Frost Street ...... San Diego ..... CA ...... 92123 Shasta Regional Medical Cen- 1100 Butte Street ...... Redding ...... CA ...... 96001 ter. Shawnee Mission Medical Cen- 9100 West 74th Street ...... Shawnee Mis- KS ...... 66204–4004 ter. sion. Shelby Baptist Medical Center 1000 First Street North ...... Alabaster ...... AL ...... 35007 Sherman Hospital ...... 934 Center Street ...... Decision Support ...... Elgin ...... IL ...... 60120 Shore Health System of Mary- 219 South Washington Street ...... Easton ...... MD ...... 21601 land. Sid Peterson Memorial Hospital 710 Water Street ...... Kerrville ...... TX ...... 78028 Sierra Medical Center ...... 1625 Medical Center Drive ...... El Paso ...... TX ...... 79902 Sierra View District Hospital .... 465 W. Putnam Avenue ...... Porterville ...... CA ...... 93257 Sierra Vista Regional Medical 1010 S. Murray Avenue ...... San Luis CA ...... 93405 Center. Obispo. Silver Cross Hospital ...... 1200 Maple Road ...... Joliet ...... IL ...... 60432

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Facility name Address 1 Address 2 City State Zip

Simi Valley Hospital & Health 2975 North Sycamore Drive ...... Simi Valley .... CA ...... 93065 Care Services. Sinai-Grace Hospital ...... 6071 W. Outer Drive ...... Detroit ...... MI ...... 48235 Sinai Hospital of Baltimore ...... 2401 West Belvedere Avenue ...... Baltimore ...... MD ...... 21215–5271 Singing River Hospital ...... 2809 Denny Avenue ...... Pascagoula ... MS ...... 39567 Sisters of Charity Hospital ...... 2157 Main Street ...... Buffalo ...... NY ...... 14120 Skaggs Community Health PO Box 650 ...... Branson ...... MO ...... 65615–0650 Center. Sky Ridge Medical Center ...... 10101 Ridgegate Parkway ...... Lone Tree ..... CO ...... 80124 Skyline Medical Center/ HTI 3441 Dickerson Pike ...... Nashville ...... TN ...... 37207 Memorial Hospital Corp. Smith of Georgia, LLC d.b.a. PO Box 10010 ...... Valdosta ...... GA ...... 31604 Smith Northview Hopsital. Sound Shore Medical Center ... 16 Guion Place ...... New Rochelle NY ...... 10801 South Austin Hospital ...... 901 W. Ben White Boulevard ...... Austin ...... TX ...... 78704 South Bay Hospital ...... 4016 Sun City Center Boule- ...... Sun City Cen- FL ...... 33570 vard. ter. South Crest Hospital ...... 8801 S. 101 Street E Avenue ...... Tulsa ...... OK ...... 74133 South Fulton Medical Center ... 1170 Cleveland Avenue ...... East Point ..... GA ...... 30344 South GA Medical Center ...... PO Box 1727 ...... Valdosta ...... GA ...... 31603–1727 South Miami Hospital ...... 6200 SW 73rd Street ...... Miami ...... FL ...... 33143–4989 South Nassau Communities One Healthy Way ...... Oceanside ..... NY ...... 11572 Hospital. South Shore Hospital ...... 55 Fogg Road ...... South Wey- MA ...... 02190–2432 mouth. Southampton Hospital ...... 240 Meeting House Lane ...... Southhampton NY ...... 11968 Southeast Alabama Medical 1108 Ross Clark Circle ...... Dothan ...... AL ...... 36301 Center. Southeast Baptist Hospital ...... 4214 E. Southcross ...... San Antonio .. TX ...... 78222 Southeast Missouri Hospital .... 1701 Lacey Street ...... Cape MO ...... 63701 Girardeau. Southern Hills Hospital ...... 9300 West Sunset Road ...... Las Vegas ..... NV ...... 89148 Southern New Hampshire Med- 8 Prospect Street ...... Nashua ...... NH ...... 03060 ical Center. Southern Ohio Medical Center 1805 27th Street ...... Portsmouth ... OH ...... 45662 Southern Regional Medical 11 Upper Riverdale Road ...... Riverdale ...... GA ...... 30274 Center. Southlake Hospital ...... 1099 Citrus Tower Boulevard ...... Clermont ...... FL ...... 34711 Southside Hospital ...... 301 East Main Street ...... Bayshore ...... NY ...... 11706 Southwest Florida Regional ..... 636 Del Prado Boulevard, ...... Cape Coral ... FL ...... 33990 Suite 104. Southwest General Health 18697 Bagley Road ...... Middleburg OH ...... 44130–3417 Center. Heights. Southwest General Hospital .... 7400 Barlite Boulevard ...... San Antonio .. TX ...... 78224 Southwest Medical Center ...... 2810 Ambassador Caffery ...... Lafayette ...... LA ...... 70506 Parkway. Southwest MS Regional Med- 215 Marion Avenue ...... McComb ...... MS ...... 39648 ical Center. Southwest Washington Medical 600 NE 92nd Avenue ...... Vancouver ..... WA ...... 98664 Center. Southwestern Medical Center .. 5602 SW Lee Boulevard ...... Lawton ...... OK ...... 73505 Spalding Regional Medical 601 South 8th Street ...... Griffin ...... GA ...... 30224 Center. Sparks Regional Medical Cen- PO Box 17006 ...... Fort Smith ..... AR ...... 72917–7006 ter. Sparrow Health System ...... 1210 W. Saginaw Highway ...... Lansing ...... MI ...... 48915 Spartanburg Regional Medical 101 East Wood Street ...... 3rd Floor Heart Center ...... Spartanburg .. SC ...... 29303 Center. Spectrum Health ...... 100 Michigan Street NE ...... Grand Rapids MI ...... 49503–2560 Springhill Memorial Hospital .... 3719 Dauphin Street ...... Mobile ...... AL ...... 36608 Springs Memorial Hospital ...... 800 West Meeting Street ...... Lancaster ...... SC ...... 29720 SSM St. Joseph Health Center 300 First Captiol Drive ...... St. Charles .... MO ...... 63301 SSM St. Joseph Hospital of 525 Couch Avenue ...... Kirkwood ...... MO ...... 63122 Kirkwood. St. Anthony Central Hospital .... 4231 W. 16th Avenue ...... Denver ...... CO ...... 80204–1335 St James Hospital and Health 20201 S. Crawford Avenue ...... Olympia IL ...... 60461 Centers. Fields. St. John’s Hospital ...... 69 W. Exchange Street ...... St. Paul ...... MN ...... 55102 St. Joseph Hospital ...... 700 Broadway Street ...... Fort Wayne ... IN ...... 46802 St. Joseph Hospital-Oakland ... 44405 Woodward Avenue ...... Pontiac ...... MI ...... 48341–5023 St. Josephs Hospital ...... 69 W. Exchange Street ...... St. Paul ...... MN ...... 55102 St. Josephs Hospital Health 301 Prospect Avenue ...... Syracuse ...... NY ...... 13203 Center. St. Lukes’s Cornwall Hospital .. 70 Dubois Street ...... Newburgh ..... NY ...... 12550

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Facility name Address 1 Address 2 City State Zip

St. Mary’s Health Care Sys- 1230 Baxter Street ...... Athens ...... GA ...... 30606 tems. St. Mary’s Hospital ...... 400 North Pleasant ...... Centralia ...... IL ...... 62801 St. Mary’s Regional Medical 305 S. 5th Street ...... Enid ...... OK ...... 73701 Center. St. Vincent Mercy Medical 2213 Cherry Street ...... Toledo ...... OH ...... 43608 Center. St. Agnes Hospital ...... 900 Caton Avenue ...... Baltimore ...... MD ...... 21229 St. Alexius Medical Center ...... 1555 Barrington Road ...... Hoffman Es- IL ...... 60194–1018 tates. St. Alphonsus Regional Med- 1055 N. Curtis Road ...... Boise ...... ID ...... 83706 ical Center. St. Anthony Hospital ...... 1000 N. Lee Avenue ...... Oklahoma OK ...... 73102 City. St. Anthony’s Health Care ...... 1200 7th Avenue North ...... St. Petersburg FL ...... 33705 St. Barnabas Medical Center ... 94 Old Short Hills Road ...... Livingston ...... NJ ...... 07039 St. Bernards Medical Center .... 225 E. Jackson Avenue ...... Jonesboro ..... AR ...... 72401 St. Catherine Hospital E Chi- 1500 South Lake Park Avenue ...... Hobart ...... IN ...... 46342 cago. St. Catherine of Siena ...... 50 Route 25A ...... Smithtown ..... NY ...... 11787 St. Charles Hospital ...... 200 Belle Terre Road ...... Port Jefferson NY ...... 11777 St. Charles Medical Center ...... 2500 North East Neff Road ...... Bend ...... OR ...... 97701–6015 St. Clair Memorial Hospital ...... 1000 Bower Hill Road ...... Pittsburgh ...... PA ...... 15243 St. Cloud Regional Medical 2906 17th Street ...... St. Cloud ...... FL ...... 34769 Center. St. David’s Medical Center ...... 919 East 32nd ...... Austin ...... TX ...... 78765 St. Dominic-Jackson Memorial 969 Lakeland Drive ...... Jackson ...... MS ...... 39216 Hospital. St. Edwards Mercy Medical 7301 Rogers Avenue ...... Ft. Smith ...... AR ...... 72917–7000 Center. St. Elizabeth Hospital ...... 2233 W. Division ...... Chicago ...... IL ...... 60622 St. Elizabeth Medical Center ... 2209 Genesee Street ...... Utica ...... NY ...... 13501 St. Francis Health Center ...... 1700 SW 7th Street ...... Topeka ...... KS ...... 66605 St. Francis Hospital ...... 701 N. Clayton Street ...... Wilmington .... DE ...... 19805 St. Francis Hospital ...... 100 Port Washington Boule- ...... Roslyn ...... NY ...... 11576–1348 vard. St. Francis Hospital ...... One St. Francis Drive ...... Greenville ...... SC ...... 29601 St. Francis Hospital ...... 333 Laidley Street ...... PO Box 44 Culloden, WV Charleston .... WV ...... 25322 25510. St. Francis Medical Center ...... 3630 Imperal Highway ...... Lynwood ...... CA ...... 90265 St. Francis Medical Center ...... 309 Jackson Street ...... Monroe ...... LA ...... 71210 St. Francis Medical Center ...... 211 Saint Francis Drive ...... Cape MO ...... 63703–5049 Girardeau. St. Francis Medical Center ...... 601 Hamilton Avenue ...... Trenton ...... NJ ...... 08629 St. Francis North Hospital ...... 309 Jackson Street ...... Monroe ...... LA ...... 71201 St. Helena Hospital ...... 10 Woodland Road ...... St. Helena ..... CA ...... 94574 St. James Health Care ...... 400 South Clark Street ...... Butte ...... MT ...... 59701 St. John Medical Center ...... 1923 S. Utica Avenue ...... Tulsa ...... OK ...... 74104 St. John Medical Center ...... 1615 Delaware Street ...... Longview ...... WA ...... 98632 St. John Providence Hospital ... 16001 W. Nine Mile Road ...... Southfield ...... MI ...... 48075 St. John West Shore Hospital .. 29000 Center Ridge Road ...... Westlake ...... OH ...... 44145 St. John’s Hospital ...... 800 E. Carpenter Street ...... Springfield ..... IL ...... 62769 St. John’s Hospital ...... 1235 E. Cherokee Street ...... Springfield ..... MO ...... 65804 St. John’s Pleasant Valley Hos- 2309 Antonio Avenue ...... Camarillo ...... CA ...... 93010 pital. St. John’s Queens Hospital ..... 90–02 Queens Boulevard ...... Elmhurst ...... NY ...... 11373 St. Johns Regional Medical 1600 N. Rose Avenue ...... Oxnard ...... CA ...... 93030–3722 Center. St. Johns Regional Medical 2727 McClelland Boulevard ...... Joplin ...... MO ...... 64804 Center. St. John’s Riverside Hospital ... 967 North Broadway ...... Health Information ...... Yonkers ...... NY ...... 10701 St. Joseph Hospital ...... 1 Saint Joseph Drive ...... Lexington ...... KY ...... 40504 St. Joseph Hospital ...... 360 Broadway ...... Bangor ...... ME ...... 04401 St. Joseph Hospital ...... 172 Kinsley Street ...... Nashua ...... NH ...... 03060 St. Joseph Hospital ...... 2901 Squalicum Parkway ...... Bellingham .... WA ...... 98225 St. Joseph Intercommunity 2605 Harlem Road ...... Cheektowaga NY ...... 14225 Hospital. St. Joseph Medical Center ...... 2200 E. Washington Street ...... Bloomington .. IL ...... 61701 St. Joseph Medical Center ...... 7601 Osler Drive ...... Towson ...... MD ...... 21204 St. Joseph Medical Center ...... 12th & Walnut Street ...... Reading ...... PA ...... 19603 St. Joseph Medical Center ...... 1401 St. Joseph Parkway ...... Houston ...... TX ...... 77002 St. Joseph Mercy Hospital ...... 5325 Elliot Drive ...... Ann Arbor ..... MI ...... 48106 St. Joseph Regional Medical 801 E. Lasalle Avenue ...... South Bend ... IN ...... 46617 Center.

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Facility name Address 1 Address 2 City State Zip

St. Joseph Regional Medical 703 Main Street ...... Paterson ...... NJ ...... 07503 Center. St. Joseph’s Hospital ...... 350 N. Wilmot Road ...... Tucson ...... AZ ...... 85711 St. Joseph’s Hospital ...... 11705 Mercy Boulevard ...... Savannah ...... GA ...... 31419 St. Joseph’s Medical Center .... 127 South Broadway ...... Yonkers ...... NY ...... 10701 St. Josephs Medical Center of 1805 North California Street ... Suite #303 ...... Stockton ...... CA ...... 95204 Stockton. St. Josephs Mercy Health Cen- 300 Werner Drive ...... Hot Springs ... AR ...... 71913 ter. St. Jude Medical Center ...... 101 East Valencia Mesa ...... Fullerton ...... CA ...... 92838 St. Luke Hospital East...... 85 N. Grand Avenue ...... Ft. Thomas ... KY ...... 41075 St. Luke Hospital West ...... 7380 Turfway Road ...... Florence ...... KY ...... 41042 St. Luke’s Baptist Hospital ...... 7830 Floyd Curl Drive ...... San Antonio .. TX ...... 78229 St. Luke’s Community Medical 17200 St. Luke’s Way ...... The Wood- TX ...... 77384 Center (The Woodlands). lands. St. Luke’s Episcopal Hospital .. 6720 Bertner Avenue ...... Houston ...... TX ...... 77030 St. Lukes Hospital ...... 363 Highland Avenue ...... Falls River ..... MA ...... 02720 St. Lukes Hospital ...... 901 Monclova Road ...... Maumee ...... OH ...... 43537 St. Luke’s Hospital ...... 915 E. First Street ...... Duluth ...... MN ...... 55805 St. Lukes Hospital & Health 801 Ostrum Street ...... Bethlehem ..... PA ...... 18088 Network. St. Luke’s Hospital-Mayo Clinic 4201 Belfort Road ...... Jacksonville .. FL ...... 32216 St. Lukes Medical Center ...... 2901 West Oklahoma Avenue ...... Milwaukee ..... WI ...... 53215–4330 St. Luke’s Medical Center ...... 1800 East Van Buren ...... Phoenix ...... AZ ...... 85006 St. Luke’s-Roosevelt Hospital 1111 Amsterdam Avenue ...... New York City NY ...... 10025 Center. ST. Marks Hospital/Northern 1200 East 3900 South ...... Salt Lake City UT ...... 84124 Utah Healthcare Corp.. St. Mary Hospital ...... 1201 Langhorne Newtown ...... Langhorne ..... PA ...... 19047 Road. St. Mary Medical Center ...... 18300 Highway 18 ...... Apple Valley .. CA ...... 92307 St. Mary Medical Center ...... 1050 Linden Avenue ...... Long Beach .. CA ...... 90813–3321 St. Mary Medical Center ...... 1500 South Lake Park Avenue ...... Hobart ...... ID ...... 46342 St. Mary of Nazareth Hospital 2233 W. Division Street ...... Chicago ...... IL ...... 60622 Center. St. Mary’s Health Center ...... 6420 Clayton Road ...... St. Louis ...... MO ...... 63117 St. Mary’s Hospital ...... 1800 East Lake Shore Drive ...... Decatur ...... IL ...... 62521 St. Mary’s Hospital ...... 707 S. Mills Street ...... Madison ...... WI ...... 53715–1849 St. Mary’s Medical Center ...... 901 45th Street ...... West Palm FL ...... 33407 Beach. St. Mary’s Medical Center ...... 407 East Third Street ...... Duluth ...... MN ...... 55805 St. Mary’s Medical Center ...... 900 Oak Hill Avenue ...... Knoxville ...... TN ...... 37917–4556 St. Mary’s of Michigan ...... 800 S. Washington Avenue ...... Saginaw ...... MI ...... 48601 St. Mary’s Regional Medical PO Box 291 Campus Avenue ...... Lewiston ...... ME ...... 04243–0291 Center. St. Michael’s Medical Center ... 111 Central Avenue ...... Newark ...... NJ ...... 07102 St. Nicholas Hospital ...... 3100 Superior Avenue ...... Sheboygan .... WI ...... 53081 St. Patrick Hospital and Health 500 W. Broadway ...... Missoula ...... MT ...... 59802 Sciences Center. St. Rose Hospital ...... 27200 Calaroga Avenue ...... Hayward ...... CA ...... 94539 St. Tammany Parish Hospital .. 1202 S. Tyler Street ...... Covington ...... LA ...... 70433 St. Vincent Charity Hospital ..... 2351 E. 22nd Street ...... Cleveland ...... OH ...... 44115 St. Vincent Healthcare ...... 1233 N. 30th Street ...... Billings ...... MT ...... 59101 St. Vincent Hospital ...... 810 St. Vincents Drive ...... Birmingham ... AL ...... 35205 St. Vincent Medical Center ...... 2131 W. 3rd Street ...... Los Angeles .. CA ...... 90703 St. Vincent’s Medical Center .... 1800 Barrs Street ...... Jacksonville .. FL ...... 32204 St. Vincent’s East ...... 50 Medical Park East Drive ...... Birmingham ... AL ...... 35235–3499 Stacia Hansen ...... 45 Reade Place ...... Poughkeepsie NY ...... 12601 Stanford Hospital and Clinics ... Falk Building 2nd Floor, 300 ...... Stanford ...... CA ...... 94305 Pasteur Drive. Stony Brook University Medical 3 Technology Drive ...... East Setauket NY ...... 11733–4073 Center. Stormont-Vail Regional Medical 1500 SW 10th Avenue ...... Topeka ...... KS ...... 66604 Center. Straub Clinic & Hospital: Cath 888 S King Street—Makai, ...... Honolulu ...... HI ...... 96813 Lab. 2nd Floor #22. Stringfellow Memorial Hospital 301 East 18th Street ...... Anniston ...... AL ...... 36202 Suburban Hospital ...... 8600 Old Georgetown Road ...... Bethesda ...... MD ...... 20814 Summerlin Hospital Medical 657 Town Center Drive ...... Las Vegas ..... WI ...... 89144 Center. Summit Medical Center ...... East Main & South 20th Street ...... Van Buren ..... AR ...... 72956 Sun Coast Hospital ...... 2025 Indian Rocks Road ...... Largo ...... FL ...... 33774 Sun Health Boswell Hospital .... 10401 West Thunderbird Bou- ...... Sun City ...... AZ ...... 85351 levard.

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Facility name Address 1 Address 2 City State Zip

Sunrise Hospital and Medical 3186 S. Maryland Parkway ...... Las Vegas ..... NV ...... 89109 Center. Sutter Delta Medical Center ..... 3901 Lone Tree Way ...... Antioch ...... CA ...... 94509 Sutter Medical Center—Sac- PO Box 160727 ...... Sacramento .. CA ...... 95819 ramento. Sutter Medical Center of Santa 3325 Chanate Road ...... Santa Rosa ... CA ...... 95404 Rosa. Swedish American Hospital ..... 1401 E. State Street ...... Rockford ...... IL ...... 61104 Swedish Covenant Hospital ..... 5145 N. California Avenue ...... Chicago ...... IL ...... 60625 Swedish Heatlh Services ...... 747 Broadway ...... Seattle ...... WA ...... 98122 Swedish Medical Center ...... 501 East Hampden Avenue ...... Englewood .... CO ...... 80113 T.J. Samson Community Hos- 1301 North Race Street ...... Glasgow ...... KY ...... 42141 pital. Tacoma General Hospital 315 Martin Luther King Jr...... Tacoma ...... WA ...... 98415 (Multicare Health System). Way. Tahlequah City Hospital ...... 1400 East Downing Street ...... Tahlequah ..... OK ...... 74465 Tallahassee Memorial Hospital 1310 N. Magnolia Drive ...... Tallahassee .. FL ...... 32308 Tampa General Hospital ...... PO Box 1289 ...... Tampa ...... FL ...... 33601 Temple University Hospital ...... 3401 North Broad Street ...... Philadelphia .. PA ...... 19140 Terre Haute Regional Hospital 3901 South 7th Street ...... Terre Haute .. IN ...... 47802 Terrebonne General Medical 8166 Main Street ...... Houma ...... LA ...... 70360 Center. Texoma Medical Center ...... 1000 Memorial Drive ...... Denison ...... TX ...... 75020 Texsan Heart Hospital ...... 6700 IH–10 West ...... San Antonio .. TX ...... 78201 The Christ Hospital ...... 2139 Auburn Avenue ...... Cincinnati ...... OH ...... 45219 The George Washington Uni- 900 23rd Street NW ...... Washington ... DC ...... 20037 versity Hospital. The Heart Hospital Baylor 1100 Allied Drive ...... Plano ...... TX ...... 75093 Plano. The Heart Hospital of North- 1501 S. Coulter Street ...... Amarillo ...... TX ...... 79106 west Texas. The Hospital at Westlake Med- 5656 Bee Caves Road, M–302 ...... Austin ...... TX ...... 78746 ical Center. The Hospital of Central Con- 100 Grand Street PO Box 100 ...... New Britain ... CT ...... 06050 necticut. The Indiana Heart Hospital ...... 8075 North Shadeland Avenue ...... Indianapolis ... IN ...... 46250 The Medical Center (TMC) ...... 1000 Dutch Ridge Road ...... Beaver ...... PA ...... 15009 The Medical Center Of South- 2555 Jimmy Johnson Boule- ...... Port Arthur .... TX ...... 77640 east Texas. vard. The Methodist DeBakey Heart 6565 Fannin Street ...... Houston ...... TX ...... 77030 Center. The Monroe Clinic ...... 515 22nd Avenue ...... Monroe ...... WI ...... 53566 The Mount Sinai Hospital of 25–11 30th Avenue ...... Long Island NY ...... 11102 Queens. City. The Mount Sinai Medical Cen- Mountt Sinai Medical Center ...... New York ...... NY ...... 10029 ter. The Nebraska Medical Center 987551 Nebraska Medical ...... Omaha ...... NE ...... 68198 Center. The Outpatient Cath Lab- 5000 Hennessy Boulevard ...... Baton Rouge LA ...... 70808 BRCC. The Outpatient Cath Lab-LCA 5000 Hennessy Boulevard ...... Baton Rouge LA ...... 70808 The Reading Hospital and Sixth Avenue and Spruce ...... West Reading PA ...... 19611 Medical Center. Street. The Toledo Hospital ...... 2142 North Cove Boulevard ...... Toledo ...... OH ...... 43606 The Valley Hospital ...... 223 North Van Dien Avenue ...... Ridgewood .... NJ ...... 07450 The Village Regional Hospital .. 1451 El Camino Real ...... The Villages .. FL ...... 32159 The Washington Hospital ...... 155 Wilson Avenue ...... Washington ... PA ...... 15301–3398 The Western Pennsylvania 4800 Friendship Avenue ...... Pittsburgh ...... PA ...... 15224 Hospital. The Wisconsin Heart Hospital, WFH Clinical Data, 5000 West 5000 West Chambers Street, Milwaukee ..... WI ...... 53210 Inc.. Chambers Street, M 229. M 229. Thomas Jefferson University TJUH ...... 111 S. 11th Street Gibbon Philadelphia .. PA ...... 19107 Hospital. Building. Tift Regional Medical Center ... PO Box 747 ...... Tifton ...... GA ...... 31794 Timpanogos Regional Hospital 750 W. 800 North ...... Orem ...... UT ...... 84057 Tobey Hospital ...... 363 Highland Avenue ...... Fall River ...... MA ...... 02720 Tomball Regional Hospital ...... 605 Holderrieth Street ...... Tomball ...... TX ...... 77375 Torrance Memorial Medical 3330 Lomita Boulevard ...... Torrance ...... CA ...... 90505 Center. Touro Infirmary Medical Center 1401 Foucher Street ...... New Orleans LA ...... 70115 Tri-City Medical Center ...... 4002 Vista Way ...... Oceanside ..... CA ...... 92056 Trident Regional Medical Cen- 9330 Medical Plaza Drive ...... Charleston .... SC ...... 29406 ter. Trinity Hospitals ...... PO Box 5020 ...... Minot ...... ND ...... 58702–5020

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Facility name Address 1 Address 2 City State Zip

Trinity Medical Center ...... 800 Montclair Road ...... Birmingham ... AL ...... 35213 Trinity Medical Center ...... 4602 3rd Street ...... Moline ...... IL ...... 61265 Trinity Medical Center West ..... 4000 Johnson Road ...... Steubenville .. OH ...... 43952 Trinity Regional Medical Center 802 Kenyon Road ...... Fort Dodge .... IA ...... 50501 Trinity Regional Medical Center 4602 3rd Street ...... Moline ...... IL ...... 61265 Trover Foundation Regional 900 Hospital Drive ...... Madisonville .. KY ...... 42431 Medical Center. Tucson Heart Hospital ...... 4888 North Stone Avenue ...... Tucson ...... AZ ...... 85704 Tucson Medical Center ...... 5301 Grant Road ...... Tucson ...... AZ ...... 85712 Tufts-New England Medical 750 Washington Street ...... Boston ...... MA ...... 02111 Center. Tulane University Hospital and 1415 Tulane Avenue ...... New Orleans LA ...... 70112 Clinic. Tulare District Hospital ...... 869 Cherry Street ...... Tulare ...... CA ...... 93274 Tuomey Healthcare System/ 129 N. Washington Street ...... Sumter ...... SC ...... 29150 Tuomey Regional Medical Center. Twelve Oaks Medical Center ... 4200 Twelve Oaks Drive ...... Houston ...... TX ...... 77027 UC San Diego Medical Center 200 W. Arbor Drive ...... San Diego ..... CA ...... 92103 UMASS Memorial Medical 55 Lake Avenue North ...... Worcester ..... MA ...... 01655–0002 Center. Union Hospital ...... 1606 N. 7th Street ...... Terre Haute .. IN ...... 47804 Union Memorial Hospital ...... 201 E. University Parkway ...... Baltimore ...... MD ...... 21218–2891 United Health Services Hos- 33–57 Harrison Street ...... Johnson City NY ...... 13790 pitals/Wilson Regional Med- ical Center. United Hospital ...... 333 Smith Avenue, North ...... Minneapolis ... MN ...... 55102 United Hospital Center, Inc...... PO Box 1680 ...... Clarksburg .... WV ...... 26302–1680 United Hospital System ...... 6308 8th Avenue ...... Kenosha ...... WI ...... 53143 United Regional Healthcare 1600 11th Street ...... Wichita Falls TX ...... 76301 System. Unity Health Center ...... 1102 West MacArthur ...... Shawnee ...... OK ...... 74804 Unity Hospital ...... 550 Osbourne Road NE ...... Minneapolis ... MN ...... 55432 Unity Hospital ...... 1555 Long Pond Road ...... Rochester ..... NY ...... 14626 University Community Hospital 3100 Fletcher Avenue ...... Tampa ...... FL ...... 33613 University Hospital ...... 620 19th Street South ...... Birmingham ... AL ...... 35249 University Hospital ...... 1350 Walton Way ...... Augusta ...... GA ...... 30901 University Hospital ...... 234 Goodman Street ...... Cincinnati ...... OH ...... 45219 University Hospitals Bedford 44 Blaine Avenue ...... Bedford ...... OH ...... 44146 Medical Center. University Hospitals Case Med- 11100 Euclid Avenue ...... Cleveland ...... OH ...... 44106 ical Center. University Hospitals Geauga 13207 Ravenna Road ...... Chardon ...... OH ...... 44024 Medical Center. University Hospitals Richmond 27100 Chardon Road ...... Richmond OH ...... 44143 Medical Center. Heights. University Hospital UMDNJ ...... 150 Bergen Street ...... Newark ...... NJ ...... 07101 University Medical Center ...... 1501 N. Campbell Avenue ...... Tucson ...... AZ ...... 85724 University Medical Center ...... 1411 Baddour Parkway ...... Lebanon ...... TN ...... 37087 University Medical Center ...... 602 Indiana Avenue ...... Lubbock ...... TX ...... 79410 University Medical Center LSU 2390 W. Congress Street ...... Lafayette ...... LA ...... 70506 University Medical Center of 1800 W. Charleston Boulevard ...... Las Vegas ..... NV ...... 89102 Las Vegas. University of Arkansas Medical 4301 West Markham Street, ...... Little Rock ..... AR ...... 72205 Sciences Physician R. Suite 532. University of California Irvine/ 101 The City Drive ...... Orange ...... CA ...... 92868–3298 Division of Cardiology. University of California (UCLA) 10833 Le Conte Avenue ...... Los Angeles .. CA ...... 90095 University Of California Davis .. 2315 Stockton Boulevard, ...... Sacramento .. CA ...... 95817 Main Hospital, Room 6312. University of California San 513 Parnassus Avenue, Room ...... San Francisco CA ...... 94143–0047 Francisco Medical Center. S–1164-E. University of Chicago Hospitals 5841 S. Maryland Avenue ...... Chicago ...... IL ...... 60637 University of Colorado Hospital 16205 E. 16th Avenue ...... Box 132 ...... Aurora ...... CO ...... 80045 Authority. University of CT Health Center/ 263 Farmington Avenue ...... Farmington .... CT ...... 06030 John Dempsey Hospital. University of Florida (Shands) 1600 SW Archer Road ...... Gainesville .... FL ...... 32610 College of Medicine. University of Illinois Medical 1740 W. Taylor Street, Build- ...... Chicago ...... IL ...... 60610 Center at Chicago. ing 949 Room 21. University of Iowa Hospitals 200 Hawkins Drive ...... Iowa City ...... IA ...... 52242 and Clinics. University of Kentucky ...... 800 Rose Street ...... Lexington ...... KY ...... 40536

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Facility name Address 1 Address 2 City State Zip

University of Louisville Hospital 530 S. Jackson Street ...... Louisville ...... KY ...... 40202 University of Maryland Medical 22 S. Greene Street ...... Baltimore ...... MD ...... 21201–1544 Center Cardiology. University of Mississippi Med- 2500 N. State Street ...... Jackson ...... MS ...... 39216 ical Center. University of Missouri Hospital 1 Hospital Drive ...... Columbia ...... MO ...... 65212 and Clinics. University of North Carolina UNC Hospitals ...... 101 Manning Drive CB#7075 .. Chapel Hill .... NC ...... 27514 Hospitals. University of Rochester Med- 601 Elmwood Avenue ...... Rochester ..... NY ...... 14642 ical Center. University of South Alabama 2451 Fillingim Street ...... Mobile ...... AL ...... 36617 Cardiology Department. University of Tennessee Med- 1924 Alcoa Highway ...... Knoxville ...... TN ...... 37920–6999 ical Center. University of Texas Medical 301 University Boulevard ...... Galveston ...... TX ...... 77555–0294 Branch at Galveston. University of Texas South- 5323 Harry Hines Boulevard ...... Dallas ...... TX ...... 75390–9013 western-University Hospital. University of Toledo Medical 3065 Arlington Avenue ...... DH2261 ...... Toledo ...... OH ...... 43614 Center. University of Utah Hospital and 50 North Medical Drive ...... Salt Lake City UT ...... 84132 Clinic Division of. University of Virginia Medical PO Box 800679 ...... Charlottesville VA ...... 22908–0679 Center. University of Washington Med- 1959 NE Pacific Street ...... Seattle ...... WA ...... 98195–6422 ical Center. University of Wisconsin Hos- 600 Highland Avenue MC ...... Madison ...... WI ...... 53792 pital & Clinics. 3204. UPMC Passavant Hospital ...... 9100 Babcock Boulevard ...... Pittsburgh ...... PA ...... 15237 UPMC Presbyterian Hospital ... 200 Lothrop Street ...... Pittsburgh ...... PA ...... 15213 UPMC Shadyside Hospital ...... 5230 Centre Avenue ...... Pittsburgh ...... PA ...... 15232 Upper Chesapeake Medical 500 Upper Chesapeake Drive ...... Bel Air ...... MD ...... 21014 Center, Inc.. Upstate Medical University 750 East Adams Street ...... Syracuse ...... NY ...... 13120 (SUNY). USC University Hospital ...... 1500 San Pablo Street ...... Los Angeles .. CA ...... 90033 Utah Valley Regional Medical 1034 North 500 West ...... Provo ...... UT ...... 84604 Center. Val Verde Regional Medical 801 Bedell Avenue ...... Del Rio ...... TX ...... 78840 Center. Valley Baptist Medical Center .. 2101 Pease Street ...... Harlingen ...... TX ...... 78550 Valley Baptist Medical Center- 1040 W. Jefferson Street ...... Brownsville .... TX ...... 78540 Brownsville. Valley Care Medical Center ..... 1111 East Stanley Boulevard ...... Livermore ...... CA ...... 94550 Valley Hospital Medical Center 620 Shadow Lane ...... Las Vegas ..... NV ...... 89106 Valley Medical Center ...... 400 South 43rd Street ...... Renton ...... WA ...... 98058 Valley Presbyterian Hospital .... 15107 Vanowen Street ...... Van Nuys ...... CA ...... 91405 Valley Regional Medical Center 100 Unit A East Alton Gloor ...... Brownsville .... TX ...... 78526 Boulevard. Valley View Medical Center ..... 5330 S. Highway 95 ...... Fort Mohave NM ...... 86427 Vanderbilt Heart Institute ...... 1215 21st Avenue ...... MCE 5th Floor ...... Nashville ...... TN ...... 37235 Vaughan Regional Medical 1015 Medical Center Parkway ...... Selma ...... AL ...... 36701 Center. VCU-Medical College Of Vir- PO Box 980036 ...... Richmond ...... VA ...... 23298 ginia. Venice Regional Medical Cen- 540 The Rialto ...... Venice ...... FL ...... 34285 ter. Verdugo Hills Hospital ...... 1812 Verdugo Boulevard ...... Glendale ...... CA ...... 91208 Via Christi Wichita Health Net- 929 N. St. Francis Street ...... Wichita ...... KS ...... 67214 work. Virginia Hospital Center ...... 1701 N. George Mason Drive ...... Arlington ...... VA ...... 22205–3698 Virginia Mason Medical Center 1100 Ninth Avenue ...... X3–CVL ...... Seattle ...... WA ...... 98111 W.A. Foote Memorial Hospital 205 N. East Avenue ...... Jackson ...... MI ...... 49201 Wadley Regional Medical Cen- 1000 Pine Street ...... Texarkana ..... TX ...... 75501 ter. WakeMed Cary Hospital ...... 3128 Smoketree Boulevard ...... Raleigh ...... NC ...... 27518 WakeMed Raleigh Campus ..... 3000 New Bern Avenue ...... Raleigh ...... NC ...... 27610 Walker Regional Medical Cen- 3400 Highway 78 E ...... Jasper ...... AL ...... 35501 ter. Washington Adventist Hospital 7600 Carroll Avenue ...... Takoma Park MD ...... 20912 Washington County Hospital .... 251 East Antietam Street ...... Hagerstown ... MD ...... 21740 Washington Hospital ...... 2000-Mowry Avenue ...... Fremont ...... CA ...... 94538

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Facility name Address 1 Address 2 City State Zip

Washington Hospital Center .... 110 Irving Street, NW Room ...... Washington ... DC ...... 20010 5A14. Washington Regional Medical 1125 N College Avenue ...... Fayetteville .... AR ...... 72703–1994 Center. Waterbury Hospital ...... PO Box 2153 ...... Waterbury ..... CT ...... 06722 Watsonville Community Hos- 75 Nielson Street ...... Watsonville ... CA ...... 95076 pital. Waukesha Memorial Hospital .. 725 American Avenue ...... Waukesha ..... WI ...... 53188 Weatherford Regional Medical 713 East Anderson Street ...... Weatherford .. TX ...... 76086 Center. Weiss Memorial Hospital ...... 4646 N. Marine Drive ...... Chicago ...... IL ...... 60640 Wellmont Holston Valley Med- 130 W. Ravine Street ...... Kingsport ...... TN ...... 37664 ical Center. Wellstar Cobb Hospital ...... 531 Roselane Street ...... Marietta ...... GA ...... 30060 Wellstar Kennestone Hospital .. 677 Church Street ...... Marietta ...... GA ...... 30066 Wesley Medical Center ...... 550 N. Hillside Street ...... Wichita ...... KS ...... 67214 Wesley Medical Center ...... 5001 Hardy Street ...... Hattiesburg ... MS ...... 39402 West Florida Hospital ...... 8383 N. Davis Highway ...... Pensacola ..... FL ...... 32514 West Hills Hospital ...... 7300 Medical Center Drive ...... West Hills ...... CA ...... 91307 West Houston Medical Center 12141 Richmond Avenue ...... Houston ...... TX ...... 77082 West Jefferson Medical Center 1101 Medical Center Boule- ...... Marrero ...... LA ...... 70072 vard. West Suburban Medical Center 3 Erie Court ...... Oak Park ...... IL ...... 60302 West Virginia University Hos- Box 8003 ...... Medical Center Drive ...... Morgantown .. WV ...... 26506–8003 pitals Inc. Westchester County Medical 95 Grasslands Road, Suite ...... Valhalla ...... NY ...... 10595 Center. 114. Western Arizona Regional 2735 Silver Creek Road ...... Bullhead City AZ ...... 86442 Medical Center. Western Baptist Hospital ...... 2501 Kentucky Avenue ...... Paducah ...... KY ...... 42003 Western Medical Center Ana- 1025 South Anaheim Boule- ...... Anaheim ...... CA ...... 92805 heim. vard. Western Medical Center Santa 1001 North Tustin Avenue ...... Santa Ana ..... CA ...... 92705 Ana. Western Plains Medical Center 3001 Avenue A ...... Dodge City .... KS ...... 67801 Westside Regional Medical 8201 West Broward Boulevard ...... Plantation ...... FL ...... 33324 Center. Wheaton Franciscan WFH Clinical Data, 5000 West 5000 West Chambers Street, Milwaukee ..... WI ...... 53210 Healthcare-All Saints, Inc.. Chambers Street, M229. M229. Wheaton Franciscan WFH Clinical Data, 5000 West 5000 West Chambers Street, Milwaukee ..... WI ...... 53210 Healthcare-St. Francis, Inc.. Chambers Street, M229. M229. Wheaton Franciscan WFH Clinical Data 5000 West 5000 West Chambers Street, Milwaukee ..... WI ...... 53210 Healthcare-St. Joseph, Inc.. Chambers Street, M229. M229. Wheeling Hospital ...... 1 Medical Park ...... Wheeling ...... WV ...... 26003 White County Medical Center .. 3214 E. Race Avenue ...... Searcy ...... AR ...... 72143–4810 White Memorial Medical Center 1720 Cesar Chavez Avenue ...... Los Angeles .. CA ...... 90033 White River Medical Center ..... 1710 Harrison Street ...... Batesville ...... AR ...... 72501 William Beaumont Hospital ...... 3601 West Thirteen Mile Road ...... Royal Oak ..... MI ...... 48073 William Beaumont Hospital— 44201 Dequindre Road ...... Troy ...... MI ...... 48085 Troy. William W. Backus Hospital ..... 326 Washington Street ...... Norwich ...... CT ...... 06360 Williamsport Hospital and Med- 777 Rural Avenue ...... Williamsport .. PA ...... 17701 ical Center. Willis-Knighton Medical Center 2600 Greenwood Road ...... Shreveport .... LA ...... 71103 Wilson Memorial Hospital ...... 915 West Michigan Street ...... Sidney ...... OH ...... 45365 Wilson N. Jones Medical Cen- 500 N. Highland Avenue ...... Sherman ...... TX ...... 75092 ter. Winchester Medical Center, 220 Campus Boulevard ...... Suite 313 ...... Winchester .... VA ...... 22601 Inc.. Winter Haven Hospital ...... 20005 Avenue F Northeast ...... Winter Haven FL ...... 33881 Winthrop University Hospital .... 259 First Street ...... Mineola ...... NY ...... 11501 Wishard Health Services Attn: 1001 W. 10th Street ...... Indianapolis ... IN ...... 46202 A/P. Woman’s Christian Association 207 Foote Avenue ...... Jamestown .... NY ...... 14701 Hospital. Woodland Heights Medical 505 S. John Redditt Drive ...... Lufkin ...... TX ...... 75904 Center. Wuesthoff Health System ...... 110 Longwood Avenue ...... Rockledge ..... FL ...... 32956–5002 Wyckoff Heights Medical Cen- 374 Stockholm Street ...... Brooklyn ...... NY ...... 11237 ter. Wyoming Medical Center ...... 1233 East 2nd Street ...... Casper ...... WY ...... 82601–2988 Wyoming Valley Health Care 575 North River Street ...... Wilkes-Barre PA ...... 18764 System.

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Facility name Address 1 Address 2 City State Zip

Yakima Regional Medical Cen- 110 South Ninth Avenue ...... Yakima ...... WA ...... 98902 ter/Cardiac Center. Yakima Valley Memorial Hos- 2811 Tieton Drive ...... Yakima ...... WA ...... 98902 pital. Yale New Haven Hospital ...... 20 York Street ...... New Haven ... CT ...... 65104 Yavapai Regional Medical Cen- 1003 Willow Creek Road ...... Prescott ...... AZ ...... 86301 ter. York Hospital ...... 15 Hospital Drive ...... York ...... ME ...... 03909 York Hospital ...... 1001 South George Street ...... York ...... PA ...... 17405 Yuma Regional Medical Center 2400 S. Avenue A ...... Yuma ...... AZ ...... 85364

Addendum X—Active CMS Coverage- Document Name: National Coverage which was not named in the NCD itself. Related Guidance Documents [July Determinations with Data Collection We would then use Addendum XI of Through September 2007] as a Condition of Coverage: Coverage this notice, along with our coverage On September 24, 2004, we published With Evidence Development Web site at http://www.cms.hhs.gov/ a notice in the Federal Register (69 FR Date of Issuance: July 12, 2006 coverage, to provide the public with 57325), in which we explained how we information about the clinical research Addendum XI—List of Special One- study that it ultimately recognizes. would develop coverage-related Time Notices Regarding National guidance documents. These guidance Addendum XI includes any Coverage Provisions [July Through additional information we may need to documents are required under section September 2007] 731 of the MMA. In our notice, we share about the conditions under which committed to the public that, ‘‘At As medical technologies, the contexts an NCD was issued as of the ending date regular intervals, we will update a list under which they are delivered, and the of the period covered by this notice. of all guidance documents in the health needs of Medicare beneficiaries There were no Special One-Time Federal Register.’’ grow increasingly complex, our national Notices Regarding National Coverage Addendum X includes a list of active coverage determination (NCD) process Provisions published this quarter. must adapt to accommodate these CMS guidance documents as of the Addendum XII—National Oncologic complexities. As part of this adaptation, ending date of the period covered by PET Registry (NOPR) this notice. To obtain full-text copies of our national coverage decisions often these documents, visit the CMS include multi-faceted coverage In January 2005, we issued our Coverage Web site at http:// determinations, which may place decision memorandum on positron www.cms.hhs.gov/mcd/ conditions on the patient populations emission tomography (PET) scans, index_list.asp?list_type=mcd_1. eligible for coverage of a particular item which stated that CMS would cover PET or service, the providers who deliver a scans for particular oncologic Document Name: Factors CMS particular service, or the methods in indications, as long as they were Considers in Commissioning External which data are collected to supplement performed in the context of a clinical Technology Assessments the delivery of the item or service (such study. We have since recognized the Date of Issuance: April 11, 2006 as participation in a clinical trial). National Oncologic PET Registry as one Document Name: Factors CMS We outline these conditions as we of these clinical studies. Therefore, in Considers in Opening a National release new or revised NCDs. However, order for a beneficiary to receive a Coverage Determination details surrounding these conditions Medicare-covered PET scan, the Date of Issuance: April 11, 2006 may need to be shared with the public beneficiary must receive the scan in a Document Name: (Draft) Factors CMS as ‘‘one-time notices’’ in the Federal facility that participates in the Registry. Considers in Referring Topics to the Register. For example, we may require The following facilities have met the Medicare Coverage Advisory that a particular medical service may be CMS’s requirements for performing PET Committee delivered only in the context of a CMS- scans under National Coverage Date of Issuance: March 9, 2005 recognized clinical research study, Determination CAG–00181N.

Facility name Provider number Date approved State Other information

Barnes—Jewish Hospital, Barnes—Jewish Plaza, Mailstop # E40080o 03/07/2006 MO...... 90–72–374, St. Louis, MO 63110. Duke University Medical Center PET Facility, Room 0402 34003 03/07/2006 NC ...... Yellow Zone Box Duke So., Durham, NC 27710. 3949. VCU Health System—Molecular Imaging Center, Dept of Nu- 490032 03/07/2006 VA...... 1300 East clear Medicine—North Hospital 7th Floor, Richmond, VA Marshall—PO Box 23298. 980001. Acadiana Oncologic Imaging, 2311 Kaliste Saloom, Lafayette, 5CA64 03/06/2006 LA...... LA 70508. Adler Institute for Advanced Imaging, 261 Old York Road, ...... 03/07/2006 PA ...... Suite 106, Jenkintown, PA 19046. Advanced Medical Imaging San Saba, 215 N San Saba, 00BC90 03/07/2006 TX...... Suite 107, San Antonio, TX 78207. Advanced Medical Imaging Stone Oak, 540 Oak Centre, 00BC90 03/07/2006 TX...... Suite 100, San Antonio, TX 78258. Advanced Radiological PET Imaging, PC, 2334 30th Avenue, 05677 03/07/2006 NY...... Lower Level. Astoria, NY 11102.

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Facility name Provider number Date approved State Other information

Akron Regional PET Scan, LLC, 3009 Smith Road, Suite AKID01691 03/07/2006 OH...... 350, Akron, OH 44333. American Radiology Services—Owings Mills, 21 Crossroads 434L 03/07/2006 MD...... Drive, Suite 100, Owings Mills, MD 21117. American Radiology Services—Bethesda, 6430 Rockledge G00000 03/07/2006 MD...... Drive, Suite 100, Bethesda, MD 20817. American Radiology Services—Waldorf, 3510 Old Wash- 435L 03/07/2006 MD...... ington Road, Suite 101, Waldorf, MD 20602. American Radiology Services—Columbia, 8820 Columbia 434L 03/07/2006 MD...... Parkway, 100, Columbia, MD 21045. American Radiology Services—Frederick, 141 Thomas John- 435L 03/07/2006 MD...... son Drive, Suite 170, Frederick, MD 21702. American Radiology Services—Timonium, 2080 York Road, 434L 03/07/2006 MD...... Suite 160, Timonium, MD 21093. Angel Williamson Imaging Center—Ft. Walton Beach, 1013— 39953A 03/07/2006 FL...... D Mar—Walt Drive, Ft. Walton Beach, FL 32547. Angel Williamson Imaging Center—Pensacola, 5120 Bayou 39953 03/07/2006 FL...... Boulevard, Suite 9, Pensacola, FL 32503. Edison Imaging Center, 3900 Park Avenue, Suite 107, Edi- AS008835 03/07/2006 NJ...... son, NJ 08820. Avon Medical Diagnostic Center, 1480 Center Road, Suite C, MC4039571 03/07/2006 OH...... Avon, OH 44011. Baltimore Imaging Centers, 3708 Mountain Road, Pasadena, H476 03/07/2006 MD...... MD 21122. Baptist Hospital PET/CT, 1000 West Moreno Street, Pensa- 100093 03/07/2006 FL...... cola, FL 32501. Bethesda Health City, 2623 S Seacrest Boulevard, Boynton 40237 03/07/2006 FL...... Beach, FL 33435. PET/CT Imaging at White Marsh, 9900 Franklin Square FMNX01 03/07/2006 MD...... Drive, Suite D, Nottingham, MD 21236. Biomedical Research Foundation PET Imaging Center, 1505 5D914 03/07/2006 LA...... Kings Highway, Shreveport, LA 71103. BodyScan of Louisville LLC, 807 Shelbyville Road, Suite 201, 9372701 03/07/2006 KY...... Louisville, KY 40222. Bradley Regional PET Imaging, Cleveland, TN 37311 ...... 3373976 03/07/2006 TN ...... 2305 Chambliss Ave NW. PET Imaging Institute of NJ, 1608 Rte 88 West, Suite 302, 070684 03/07/2006 NJ...... Brick, NJ 08724. Broward PET Imaging Center, LLC, 4850 W. Oakland Park E5709 03/07/2006 FL...... Boulevard, Suite A, Fort Lauderdale, FL 33313. Camelback Imaging, 15215 S. 48th Street, #110, Phoenix, AZ 100488 03/07/2006 AZ...... 85044. California Imaging and Treatment Center, 3000 Oak Road, ZZZ27175Z 03/07/2006 CA...... #111, Walnut Creek, CA 95497. Cancer Care Centers of Brevard, 1430 S Pine Street, Mel- 39835 03/07/2006 FL...... bourne, FL 32901. Center for Medical Imaging—Florida Hospital, 1922 Salk Ave- 100057 03/07/2006 FL...... nue, Tavares, FL 32778. Cancer Center of Colorado Springs, 320 E. Fontanero, Suite 79804 03/07/2006 CO...... 200, Colorado Springs, CO 80907. Centro Sononuclear de Rio Piedras, 1028 Los Angeles 83910 03/07/2006 PR...... Street, San Juan, PR 00926. Chattanooga Imaging East, 1710 Gunbarrel Road, Chat- 3716643 03/07/2006 TN...... tanooga, TN 37421. Chester County PET Associates, 701 East Chester Marshall 085698 03/07/2006 PA...... Street, West Chester, PA 19380. Cincinnati PET Scan, LLC—Kenwood, 7730 Montgomery 311754291 03/07/2006 OH...... Road, Suite 120, Cincinnati, OH 45236. Cincinnati PET Scan, LLC, Monfort Heights, 5575 Cheviot 311754291 03/07/2006 OH...... Road, Cincinnati, OH 45247. Clinical PET of Hernando, 4003 Mariner Boulevard, Spring L13228 03/07/2006 FL...... Hill, FL 34609. Clinical PET of Citrus, 6140 W Corporate Oaks Drive, Crystal U0121 03/07/2006 FL...... River, FL 34429. Clinical PET of Lake City, 484 SW Commerce Drive, Suite V2683 03/07/2006 FL...... 145, Lake City, FL 32025. Clinical PET of Ocala, 3143 SW 32nd Avenue, Suite 100, E7179 03/07/2006 FL...... Ocala, FL 34474. Columbus Regional Hospital, 2400 East 17th Street, Colum- 150112 03/07/2006 IN...... bus, IN 47201. Concord Imaging, 18802 Meisner Drive, San Antonio, TX 00126Z 03/07/2006 TX...... 78258. Dartmouth Hitchcock Medical Center, One Medical Center ...... 03/07/2006 NH ...... Drive, Lebanon, NH 03756.

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Facility name Provider number Date approved State Other information

Dedicated PET Imaging, 2315 Sunset Boulevard, Suite E, 01181 03/07/2006 OH...... Steubenville, OH 43952. Diablo Valley Oncology & Hematology Medical Group, 3000 ZZZ26796Z 03/07/2006 CA...... Oak Road, #111, Walnut Creek, CA 94597. Diagnostic Imaging at Baywalk, 129 1st Avenue N, St. Pe- 00022 03/07/2006 FL...... tersburg, FL 33701. DMS Imaging, 2101 N. University Drive, Fargo, ND 58109 ...... 03/07/2006 ND ...... P.O. Box 8070. Doylestown PET Associates, 599 W. State Street, 059536 03/07/2006 PA...... Suite 202. Doylestown, PA 18901. East Bay Medical Oncology—Hematology Assoc., Inc, 3000 ZZZ267792 03/07/2006 CA...... Oak Road, #111, Walnut Creek, CA 94597. East River Medical Imaging, 519 East 72 Street, Suite 103, W11781 03/07/2006 NY...... New York, NY 10021. El Camino Imaging Center, 8020 Constitution Place, NE., Al- 237150 03/07/2006 NM...... buquerque, NM 87110. Elite Imaging, LLC, 2845 Aventura Boulevard, Suite 145, K3535 03/07/2006 FL...... Aventura, FL 33180. EPIC Imaging Center, 233 NE 102nd Avenue, Portland, OR 0000WCGNQ 03/07/2006 OR...... 97220. Evergreen Radia, 11521 NE 128th Street, Kirkland, WA GAB39931 03/07/2006 WA...... 98034. Excel Diagnostics Imaging Clinics, 9701 Richmond Avenue, FTA109 03/07/2006 TX...... Suite 122, Houston, TX 77042. First Imaging of the Carolinas, 30 Memorial Drive, Pinehurst, 2346997 03/07/2006 NC...... NC 29374. Florida Hospital Advanced Nuclear Imaging PET, 328 Spruce 100007 03/07/2006 FL...... Street, Orlando, FL 32804. Fort Jesse Imaging Center, LLC, 2200 Fort Jesse Road, 209824 03/07/2006 IL...... Suite 120, Normal, IL 61761. Fox Chase Cancer Center, 333 Cotman Avenue, Philadel- 390196 03/07/2006 PA...... phia, PA 19111. Frederick Imaging Centers, 46B Thomas Johnson Drive, H476 03/07/2006 MD...... Frederick, MD 21702. Fusion Diagnostic Group, LLC, 1700 California Street, Suite 00G366470 03/07/2006 CA...... 260, San Francisco, CA 94109. Fusion Imaging Institute, 2419 E. Commercial Boulevard, 18281 03/07/2006 FL...... Suite 101, Ft. Lauderdale, FL 33308. Future Diagnostics Group, 254 N. Republic Avenue, Joliet, IL 200825 03/07/2006 IL...... 60435. Greater Niagra PET, LLC, 1 Columbia Drive, Suite 3, Niagra BA0213 03/07/2006 NY...... Witmer Park Falls, NY 14305. Medical Center. Hematology Oncology Associates of Baton Rouge, 4950 5C696 03/07/2006 LA...... Essen Lane, Baton Rouge, LA 70809. Gulf Coast Cancer & Diagnostic of Southeast, 12811 Beamer 149949301 03/07/2006 TX...... Road, Houston, TX 77089. Henry Ford, Department of Radiology, 2799 W. Grand Boule- 230053 03/07/2006 MI...... vard, Detroit, MI 48202. High Point Regional Health System, 601 N. Elm Street, High 3400040 03/07/2006 NC...... Point, NC 27262. Highlands Oncology Group, 3232 N. North Hills Boulevard, 5B823 03/07/2006 AR...... Fayetteville, AR 27203. Holy Name Hospital, 718 Teaneck Road, Teaneck, NJ 07666 310008 03/07/2006 NJ ...... PET/CT Center. Holy Family Memorial Medical Center, PO Box 1450, 520107 03/07/2006 WI...... 2300 Western Manitowoc, WI 54221. Ave. Hospital of Saint Raphael, 1450 Chapel Street, New Haven, 070001 03/07/2006 CT...... CT 05611. San Patricio MRI & CT Center, 1508 Roosevelt Avenue, 84997 03/07/2006 PR...... Suite 103, San Juan, PR 00920. Imaging Center of Hartford Hospital, 80 Seymour Street, PO 070025 03/07/2006 CT...... Box 5037, Hartford, CT 06102. Indian Wells PET/CT Center, 74785 Highway 111, #101, In- 1264523891 03/07/2006 CA...... dian Wells, CA 92210. Imaging Technology Associates, 3800 Reservoir Road, NW., FDNCX1 03/07/2006 DC...... Gorman 2043, Washington, DC 20007. PET Scan. San Francisco Magnetic Resonance Center, 1180 Post ZZZ27498Z 03/07/2006 CA...... Street, San Francisco, CA 94109. Intermountain Medical Imaging, 2929 E Magic View Drive, 82–05144–22 03/07/2006 ID...... Meridian, ID 83642. Jefferson Center City Imaging, 850 Walnut Street, Philadel- 66277 03/07/2006 PA...... phia, PA 19107. Kansas City Cancer Center—Kansas, 12200 W. 110th Street, 5650000D 03/07/2006 KS...... Overland Park, KS 66210. Kansas City Cancer Center—Missouri, 4881 Goodview Circle, 5650000E 03/07/2006 MO...... Lee’s Summit, MO 66064.

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Facility name Provider number Date approved State Other information

Kreitchman PET Center, 180 Ft. Washington Avenue, HP3– WEM661 03/07/2006 NY...... 315, New York, NY 10032. LakePointe PET, 10914 Hefner Pointe Drive, Suite 100, Okla- 700522143 03/07/2006 OK...... homa City, OK 73120. Lakeshore PET Imaging, LLC, 4932 W 95th Street, Oak 200108 03/07/2006 IL...... Lawn, IL 60453. Larchmont Imaging Associates, LLC, 210 Ark Road, Mt. Lau- 517216 03/07/2006 NJ...... rel, NJ 08054. Las Cruces PET/CT Imaging, 1121 Mall Drive, Suite D, Las 300521065 03/07/2006 NM...... Cruces, NM 88011. Lehigh Valley Diagnostic Imaging PET/CT, 1230 S. Cedar 563802 03/07/2006 PA...... Crest Boulevard, Suite 104, Allentown, PA 18103. LifeScan Louisville, LLC, 4046 Dutchmans Lane, Louisville, 9365601 03/07/2006 KY...... KY 40207. Limerick PET Associates, 420 W. Linfield—Trappe Road, 075015 03/07/2006 PA ...... Suite 3400, Third Limerick, PA 19468. Floor, Rear. LifeScan Minnesota, 6525 France Avenue S, Suite 225, 470000014 03/07/2006 MN...... Edina, MN 55435. Louisiana PET Imaging of Alexandra, LLC, 5419 A Jackson 5C743 03/07/2006 LA...... Street Exit, Alexandria, LA 71303. LMR PET, 12600 Creekside Lane, Ft. Meyers, FL 33919 ...... E5725 03/07/2006 FL ...... Louisiana PET Imaging of Lake Charles, LLC, 1750 Ryan 5C905 03/07/2006 LA...... Street, Lake Charles, LA 70601. Insight Diagnostic Center—Forest Lane, 11617 N. Central Ex- FTA016 03/07/2006 TX...... pressway, #132, Dallas, TX 75243. MDI of Thousand Oaks, 300 Lombard Street, Thousand W14186 03/07/2006 CA...... Oaks, CA 91360. Meadowbrook PET Associates, 1695 Huntington Pike, 064866 03/08/2006 PA...... Meadowbrook, PA 19046. Medical Imaging of Baltimore, 6715 N. Charles Street, Balti- 258L 03/08/2006 MD...... more, MD 21204. Metabolic Imaging of Laredo, 2344 Laguna Del Mar, Suites 5 FTN029 03/08/2006 TX...... & 6, Laredo, TX 78045. Methodist Hospital PET Imaging Center, 301 W. Huntington 9511643336 03/08/2006 CA...... Drive, Suite 120, Arcadia, CA 91007. Metro Region PET Center at Chevy Chase, 5454 Wisconsin 724811 03/08/2006 MD...... Avenue, Suite 810, Chevy Chase, MD 20815. Clinical PET of St. Charles County, 1475 Kisker Road, St. 000047047 03/08/2006 MO...... Charles, MO 63304. Metro Region PET Center at Woodburn Nuclear Medicine, 724811 03/08/2006 VA...... 3289 Woodburn Road, Annandale, VA 22003. Michiana Hematology—Oncology, PC, 100 Navarre Place, 216950 03/08/2006 IN...... Suite 5550, South Bend, IN 46601. Michigan State University—Radiology, 184 Radiology Build- OC36350 03/08/2006 MI...... ing, East Lansing, MI 48824. Clinical PET of West County, 450 N. New Ballas Road, Creve 000093043 03/08/2006 MO...... Coeur, MO 63141. Modality Integration Services, Inc., 1854 SW Greenway Cir- ...... 03/08/2006 OR ...... cle, West Linn, OR 97068. Molecular Imaging Center, 1733 Curie Drive, Suite 305, El 00315U 03/08/2006 TX...... Paso, TX 79912. Molecular Imaging of Suburban Chicago, LLC 908 N. Elm 212300 03/08/2006 IL...... Street, Suite 110, Hinsdale, IL 60521. Montclair Road Imaging LLC, 924 Montclair Road Suite 108, 000056277 03/08/2006 AL...... Birmingham, AL 35213. Montefiore Medical Center, 1695A Eastchester Road, Bronx, W06552 03/08/2006 NY...... NY 10461. Neurodiagnostics, PSC, 1725 Harrodsburg Road, Suite 100, 0406 03/08/2006 KY...... Lexington, KY 40504. New Century Imaging, 555 Kinderkamack Road, Oradel, NJ 085146 03/08/2006 NJ...... 07649. Newport Diagnostic Center, 1605 Avocado Avenue, Newport W13396 03/08/2006 CA...... Beach, CA 92660. Next Generation Radiology PET/CT, 560 Northern Boulevard, WR6091 03/08/2006 NY...... Suite 111, Great Neck, NY 11021. North Valley MRI and CT, 1638 Esplanade, Chico, CA 95926 ZZZ247802 03/08/2006 CA ...... Northwest Alabama Cancer Center Radiology Services, 302 051552219 03/08/2006 AL...... W. Dr. Hicks Boulevard, Florence, AL 35630. Northern Kentucky PET Scan, LLC 651 Centre View Boule- 311754291 03/08/2006 KY...... vard, Crestview Hills, KY 41017. Northwest Cancer Center, 17323 Red Oak Drive, Houston, 00D29C 03/08/2006 TX...... TX 77090. Northwestern Memorial Hospital, 251 East Huron Street, Chi- 140281 03/08/2006 IL...... Galter 8–113. cago, IL 60611.

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Facility name Provider number Date approved State Other information

Northern Shared Medical Services—Atlantic IA, 1501 East I16068 03/08/2006 IA...... Cass County Tenth Street, Atlantic, IA 50022. Memorial Hospital. Northern Shared Medical Services—Audubon IA, 515 Pacific I16068 03/08/2006 IA...... Audobon County Street, Audubon, Iowa 50025. Memorial Hospital, Northern Shared Medical Services—Beloit, KS 400 West 130618 03/10/2006 KS...... Mitchell County Eighth, Beloit, KS 67420. Hospital. Northern Shared Medical Services—Bloomfield, IA, 507 North I16068 03/10/2006 KS...... Davis County Madison Street, Bloomfield, IA 52537. Hospital. Northern Shared Medical Services—Carrollton, MO, 1502 000047013 03/10/2006 MO...... Carroll County North Jefferson, Carrollton, MO 64633. Memorial Hospital. Northern Shared Medical Services—Centerville IA, 1st St. Jo- I16068 03/10/2006 IA...... Mercy Medical seph Drive, Centerville, IA 52544. Center. Northern Shared Medical Services—Carthage, IL, 160 S. 208196 03/10/2006 IL...... Memorial Hospital. Adams Street, Carthage, IL 62321. Northern Shared Medical Services—Clarinda, IA, 823 S. 17th I16068 03/10/2006 IA...... Clarinda Regional Street, Clarinda, IA 51632. Health Center. Northern Shared Medical Services—Chanute, KS, 629 South 130618 03/10/2006 KS...... Neosho Memorial Plummer, Chanute, KS 66720. Regional Medical Center. Northern Shared Medical Services—Edwardsville, IL, 1121 208196 03/10/2006 IL...... Edwardsville University Drive, Edwardsville, IL 62025. Health Center. Northern Shared Medical Services—El Dorado, AR, 700 West 5F168 03/10/2006 AR ...... Medical Center of Grove Street, El Dorado, AR 71730. South Arkansas. Northern Shared Medical Services—Farmington, MO, 1212 000047013 03/10/2006 MO...... Mineral Area Weber Road, Farmington, MO 63640. Regional Medical Center. Northern Shared Medical Services—Janesville, WI, 1321 000092420 03/10/2006 WI...... Janesville Creston Park Drive, Janesville, WI 53545. Occupational Health & Medical Center. Northern Shared Medical Services—Hiawatha, KS, 300 Utah 130618 03/10/2006 KS...... Hiawatha Street, Hiawatha, KS 66434. Community Hospital. Northern Shared Medical Services—Keokuk, IA, 1600 Mor- I16068 03/10/2006 IA...... Keokuk Area gan Street, Keokuk, IA 52632. Hospital. Northern Shared Medical Services—Macomb, IL, 525 East 208196 03/10/2006 IL...... McDonough Grant Street, Macomb, IL 61455. District Hospital. Northern Shared Medical Services—Mexico, MO, 620 East 000047013 03/10/2006 MO...... Audrain Medical Monroe Street, Mexico, MO 65265. Center. Northern Shared Medical Services—Moberly, MO, 1515 000047013 03/10/2006 MO...... Moberly Regional Union Avenue, Moberly, MO 65270. Medical Center. Northern Shared Medical Services—Mountain Home, AR, 899 5F168 03/10/2006 AR...... Cogburn Cancer Burnett Drive, Mountain Home, AR 72653. Clinic. Northern Shared Medical Services—Poplar Bluff, MO, 221 000047013 03/10/2006 MO...... Poplar Bluff Physicians Park Drive, Poplar Bluff, MO 63901. Medical Partners. Northern Shared Medical Services—Perryville, MO, 434 North 000047013 03/10/2006 MO...... Perry County West Street, Perryville, MO 63775. Memorial Hospital. Northern Shared Medical Services—Rolla, MO, 1000 West 000047013 03/10/2006 MO...... Phelps Co Tenth Street, Rolla, MO 65401. Regional Medical Center. Northern Shared Medical Services—Virginia, MN, 901 Ninth 470000057 03/10/2006 MN...... Virginia Regional Street North, Virginia, MN 55792. Medical Center. Northern Shared Medical Services—Russellville, AR, 2504 5F168 03/10/2006 AR...... Russellville Land West Main Street, Russellville, AR 72801. Co. Northern Shared Medical Services—West Plains, MO, 1100 000047013 03/10/2006 MO...... Ozarks Medical Kentucky Avenue, West Plains, MO 65775. Center. Oakwood Hospital Medical Center, 18101 Oakwood Boule- 230020 03/10/2006 MI...... vard, Dearborn, MI 48124. Oakwood Southshore Medical Center, 5450 Fort Street, Tren- 230176 03/10/2006 MI...... ton, MI 48183. Ocean Medical Imaging Center, 21 Stockton Drive, Toms 158432 03/10/2006 NJ...... River, NJ 08755. Orange County Regional PET Center, LLC, 16300 Sand Can- TP018 03/10/2006 CA...... yon Avenue, Suite 103, Irvine, CA 92618. Orange Advanced Imaging Center, 230 Main Street, #101, TP016A 03/10/2006 CA...... Orange, CA 92868. Pacific Coast Imaging—Irvine, 250 E Yale Loop, Suite A, WG87478B 03/10/2006 CA...... Irvine, CA 92604. Pacific Coast Imaging—Newport, 3300 West Coast Highway, WG87478 03/10/2006 CA...... Newport Beach, CA 92663. Pacific Imaging and Treatment Center, 5395 Ruffin Road, TP126 03/10/2006 CA...... Suite 202, San Diego, CA 92123. Palm Beach Cancer Institute, 1395 State Road 7, Suite 310, 34754 03/10/2006 FL...... Wellington, FL 33414.

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Facility name Provider number Date approved State Other information

Pennsylvania PET Associates, 800 Spruce Street, Philadel- 066282 03/10/2006 PA...... Second Floor, phia, PA 19107. Widener Building. PET Center of Western NY, 127 North Street, Batavia, NY 187140 03/10/2006 NY...... 14020. PET Imaging at CDR, 7600 N. 15th Street, Suite 102, Phoe- WCFDG 03/10/2006 AZ...... nix, AZ 85020. PET Imaging at the Lake, 5000 Hennessy Boulevard, Baton 5C868 03/10/2006 LA...... Rouge, LA 70809. PET Imaging Center at Harford County, 602 S Atwood Road, FMN006 03/10/2006 MD...... Suite 201, Bel Air, MD 21014. PET Imaging Institute of South Florida—East, 150 N 35th Av- E3783 03/10/2006 FL...... enue, 665 Hollywood, FL 33021. PET Imaging Institute of South Florida—West, 603 N Fla- E3783 03/10/2006 FL...... mingo Road, S–155, Pembroke Pines, FL 33028. PET Scan Arizona—Peoria, 13460 N 94th Drive, Suite J1, 75400 03/10/2006 AZ...... Peoria, AZ 85381. PET Scan Arizona—Phoenix, 6036 N 19th Avenue, Suite 66860 03/10/2006 AZ...... 305, Phoenix, AZ 85015. PET/CT Diagnostic Medical Imaging, PC, 1200 Waters Place, W31091 03/10/2006 NY...... Suite M108, Bronx, NY 10461. Precision Imaging, 4416 East West Highway, Suite 410, Be- FMN005 03/10/2006 MD...... thesda, MD 20814. Preferred PET Imaging of Kansas, LLC, 928 N. St. Francis 110693 03/10/2006 KS...... Street, Wichita, KS 67214. Premium Diagnostics Center, 5319 Hoag Drive, Suite 130, ID01851 03/10/2006 OH...... Elyria, OH 44035. PET Center Ft. Worth, 800 W. Magnolia Avenue, Fort Worth, 0J062 03/10/2006 TX...... Suite 100. TX 76104. Radiology Associates, LLP, 6001 S. Staples Street, Corpus 00E816 03/10/2006 TX...... Christi, TX 78413. S. Arlington Imaging Center, 4601 Matlock Road, Arlington, 0J062 03/10/2006 TX...... TX 76018. Radiology Group Imaging Center, LLC, 1970 E. 53rd Street, 16031 03/10/2006 IA...... Davenport, IA 52807. PET/CT Scan Center Pembroke, 11325 Pembroke Square, 521454775 03/10/2006 MD...... Suite 116, Waldorf, MD 20603. New York MedScan, 751 Second Avenue, New York, NY 978701 03/10/2006 NY...... 10017. Rex Healthcare, 4420 Lake Boone Trail, Raleigh, NC 27607 340114 03/10/2006 NC ...... San Fernando Regional PET Center, 6855 Noble Avenue, TP078 03/10/2006 CA...... Van Nuys, CA 91405. PET/CT Imaging Center of Northwest Florida, 5149 North 9th U4696 03/10/2006 FL...... Avenue Suite 124, Pensacola, FL 32504. Saint Joseph’s Hospital—Nuclear Medicine, 611 St. Joseph 520037 03/10/2006 WI...... Avenue, Marshfield, WI 54449. Shared PET Imaging, LLC—Brooklyn NY, 6300 Eighth Ave- 97Z661 03/10/2006 NY...... nue, Brooklyn, NY 11220. SC Cancer Specialists, 25 Hospital Center Boulevard, #301, 1285633289 03/10/2006 SC...... Hilton Head Island, SC 29926. Shared PET Imaging, LLC—Granger IN, 6901 N. Main Street, 232800 03/10/2006 IN...... Granger, IN 46530. University Hospital—Cincinnati, Eden Avenue & Albert Sabin ...... 03/10/2006 OH ...... Way, Cincinnati, OH 45219. Shared PET Imaging, LLC—Marion OH, 1050 Delaware Ave- ID01511 03/10/2006 OH...... nue, Marion, OH 43302. Shared PET Imaging, LLC—Terre Haute IN, 3702 South 201320 03/10/2006 IN...... Fourth Street, Terre Haute, IN 47802. South Jersey Radiology Associates, PA, 100 Carnie Boule- S0429966 03/10/2006 NJ...... vard, Suite B5, Voorhees, NJ 08043. Southwest PET/CT Institute—Tucson, 3503 N. Campbell, 1396736922 03/10/2006 AZ...... Suite 155, Tucson, AZ 85719. Southwest PET/CT Institute—Yuma, 1951 W. 25th Street, 106077 03/10/2006 AZ...... Suite G, Yuma, AZ 85364. St. Francis Health Center, 1700 SW 7th Street, Topeka, KS 17–0016 03/10/2006 KS...... 66606. Southwoods PET Scan, LLC, 250 Debartolo Place, Building PCN05210036 03/10/2006 OH...... B, Youngstown, OH 44512. St. Louis PET Centers, LLC, 12637 Olive Boulevard, Creve 1861470734 03/10/2006 MO...... Coeur, MO 63376. St. Vincent’s PET Center, LLC, 2660 10th Avenue S, POBI, 051555054 03/10/2006 AL...... Suite 104, Birmingham, AL 35205. Sun Molecular Imaging—Peoria, 13090 N. 94th Drive, #103, 71585 03/10/2006 AZ...... Peoria, AZ 85381.

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Facility name Provider number Date approved State Other information

Sun Molecular Imaging—Sun City West, 13909 W Camino 71585 03/10/2006 AZ...... Del Sol, #101, Sun City West, AZ 85375. Tarzana Advanced Imaging, 5536 Reseda Boulevard, TP051A 03/10/2006 CA ...... Tarzana, CA 91356. The Methodist Hospital PET Center 6565 Fannin Street MBI– 450358 03/10/2006 TX...... 066 Houston, TX 77030. Texarkana PET Imaging Institute, LP 1929 Moores Lane Tex- FTN008 03/10/2006 TX...... arkana, TX 75503. The PET/CT Center of North Florida 5742 Booth Road Jack- K7038P 03/10/2006 FL...... sonville, FL 32207. The Washington Hospital 155 Wilson Ave., Washington, PA 390042 03/10/2006 PA...... 15301. The PET/CT Scanning Center 235 18th Street, SE Hickory, 2881788 03/10/2006 NC...... NC 28602. Thompson Cancer Survival Center PET Imaging Center 9711 3791106 03/10/2006 TN...... Sherrill Boulevard Knoxville, TN 37923. Thunderbird MRI and PET Center 6591 W. Thunderbird Road 79467 03/10/2006 AZ...... Suite A–1 Glendale, AZ 85306. Tower Imaging Roxsan 465 N. Roxbury Drive Suite 101 Bev- TP114 03/10/2006 CA...... erly Hills, CA 90210. Tower Hematology Oncology Medical Group 9090 Wilshire W11793 03/10/2006 CA...... Boulevard Suite 200 Beverly Hills, CA 90211. TRA Medical Imaging 2202 S Cedar Suite 200 Tacoma, WA 001055600 03/10/2006 WA...... 98405. Trident PET of Fayette 1275 Highway 54 West Suite 102 47BBBJJ 03/10/2006 GA...... Fayetteville, GA 30214. Trident PET of Gwinnett 545 Old Norcross Road 47BBBGX 03/10/2006 GA...... Suite 200. Lawrenceville, GA 30045. Trident PET of Savannah 7135 Hodgson Memorial Drive Sa- 47BBBKP 03/10/2006 GA...... Suite 10A. vannah, GA 31406. Tristan Associates 4520 Union Deposit Road Harrisburg, PA 112344 03/10/2006 PA...... 17111. Union Square Diagnostic Imaging 144 Fourth Avenue New WR7502 03/10/2006 NY...... York, NY 10003. UCLA—Dept. of Molecular & Medical Pharmacology 10833 HW13029 03/10/2006 CA...... AR–115–CHS. Le Conte Avenue Los Angeles, CA 90095. University Nuclear Medicine, Inc. 105 Parker Hall Buffalo, NY 14414A 03/10/2006 NY ...... 3435 Main St. 14214. University Radiology Group 75 Veronica Avenue Suite 102 425699 03/10/2006 NJ...... Somerset, NJ 08873. Anne Arundel Medical Center 2001 Medical Parkway Annap- 210023 03/10/2006 MD...... olis, MD 21401. US Imaging Center Corp., LLC 842 Sunset Lake Boulevard U0331 03/10/2006 FL...... Suite 301 Venice, FL 34292. USC PET Imaging Science Center 1510 San Pablo Street W11874 03/10/2006 CA...... Suite 350 Los Angeles, CA 90033. Rolling Oaks Radiology 415 Rolling Oak Drive, Suite 160 W10746 03/10/2006 CA...... Thousand Oaks, CA 91361. Vero Radiology Associates, Inc. 777 37th Street Suite A–103 97445 03/10/2006 FL...... Vero Beach, FL 32960. Ventura Coast Imaging Center 4601 Telephone Road Suite W11335 03/10/2006 CA...... 101 Ventura, CA 93003. Washington Imaging Services, LLC 1135–116th Avenue, NE GAB23386 03/10/2006 WA...... Bellevue, WA 98004. Washington Hospital Center 110 Irving Street, NW Wash- 090011 03/10/2006 DC...... ington, DC 20010. Washoe Med Imaging Services at 75 Kirman 75 Kirman Ave- WCHBB 03/10/2006 NV...... nue Reno, NV 89502. Wesley Long Hospital—Moses Cone Health System 501 34–0091 03/10/2006 NC...... North Elam Avenue Greensboro, NC 27403. Westcoast Radiology 36463 U.S. Highway, 19 N. Palm Har- E4187 03/10/2006 FL...... bor, FL 34684. Western Washington Oncology 4525 3rd Avenue SE Lacey, 1497749642 03/10/2006 WA...... WA 98503. Windber Medical Center 600 Somerset Avenue Windber, PA 390112 03/10/2006 PA...... 15963. Wyoming Valley PET Associates, 190 Welles Street, Forty 045012 03/10/2006 PA...... Fort, PA 18704. Youngstown Regional PET Scan, 850 McKay Court, Youngs- Y0ID0174 03/10/2006 OH...... town, OH 44512. X-RAY Associates at Santa Fe, 490 A West Zia Road, Suite 2258263 03/10/2006 NM...... 130, Santa Fe, NM 87505. Sibley Memorial Hospital, 5255 Loughboro Road, NW., 090005 03/10/2006 DC...... Washington, DC 20016.

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Facility name Provider number Date approved State Other information

Lerman Diagnostic Imaging, 6511 Fort Hamilton Parkway, 16H771 03/10/2006 NY...... Brooklyn, NY 11215. XRC Medical Imaging, 53940 Carmichael Drive, South Bend, 187390 03/10/2006 IN...... IN 46635. St. Luke’s Hospital, 1026 A. Avenue, NE., Cedar Rapids, IA 160045 03/10/2006 IA ...... P.O. Box 3026. 52406–3026. University Imaging at Science Park, 110 Science Parkway, 16624A 03/10/2006 NY...... Suite 100, Rochester, NY 14620. Kadlec Medical Center/Nuclear Medicine Dept., 945 Goethals 1972507580 03/10/2006 WA...... Street, Richland, WA 99352. Central Georgia PET, LLC, 1650 Hardmon, Macon, GA 47BBBKC 03/10/2006 GA...... 31201. PET/CT Imaging at Swedish Cancer Institute, 1221 Madison 8857387 03/10/2006 WA...... Street, First Floor, Seattle, WA 98104. National PET Scan Duval, LLC, 425 North Lee Street, Jack- E7348 03/10/2006 FL...... sonville, FL 32204. National PET Scan Pinellas, LLC, 805 Executive Center Drive E7503 03/10/2006 FL...... W, St. Petersburg, FL 33702. National PET Scan Dade, LLC, 7867 North Kendall Drive, E5427 03/10/2006 FL...... Suite 121, Miami, FL 33156. National PET Scan Broward, LLC, 6290 North Federal High- E5432 03/10/2006 FL...... way, Fort Lauderdale, FL 33308. Scottsdale Medical Imaging, Ltd., 7624 E. Indian School WCFKX 03/10/2006 AZ...... Road, Suite 109–1, Scottsdale, AZ 85251. Lakes Regional General Hospital, 80 Highland Street, Laco- 300005 03/10/2006 NH...... nia, NH 03246. Northern California PET Imaging Center, 3195 Folsom Boule- ZZZ15725Z 03/10/2006 CA...... vard, Sacramento, CA 95816. Northern California PET Imaging Center—Mobile, 3195 Fol- ZZZ25157Z 03/10/2006 CA...... som BoulevardSacramento, CA 95816. Northern California PET Imaging Center—VAPA, 3801 Mi- ZZZ21308Z 03/10/2006 CA...... randa Avenue, Palo Alto, CA 94304. Advanced Medical Imaging, 3548 Route 9 South, Old Bridge, 595865 03/10/2006 NJ...... NJ 08857. St. Vincent Infirmary Medical Center, PET/CT Center, 2 St. 04–0007 03/10/2006 AR...... Vincent Circle, Little Rock, AR, 72205–5499. Lincoln Trail Diagnostics, 1111 Woodland Drive, Elizabeth- 470001408 03/10/2006 KY...... town, KY 42701. LifeScan Imaging, 607 Clifty Street, Somerset, KY 42503 ...... 7614 03/10/2006 KY ...... St. John’s Hospital Springfield Nuclear Medicine, 1235 E. 26–0065 03/10/2006 MO. Cherokee Street, Springfield, MO 65804. City of Hope, 1500 E. Duarte Road, Duarte, CA 91010 ...... 050146 03/10/2006 CA ...... Dept. of Nuclear Medicine. Hackettstown Regional Medical Center, 651 Willow Grove 310115 03/10/2006 NJ...... Street, Hackettstown, NJ 07840. Imaging Alliance—Nashville PET, LLC, 52 White Bridge 3791068 03/10/2006 TN...... Road, Nashville, TN 37205. Molecular Imaging of Bradenton, 2301 60th Street, Court U1334 03/10/2006 FL...... West, Suite A, Bradenton, FL 34209. Molecular Imaging of Charlotte County, 4130 Tamiami Trail, U1934 03/10/2006 FL...... Port Charlotte, FL 33952. Imaging For Life, 3830 Bee Ridge Road, Suite A, Sarasota, E6704 03/10/2006 FL...... FL 34233. Seattle Nuclear Medicine/Ultrasound Associates, 1229 Madi- G000158400 03/10/2006 WA...... son Street,Suite 1050, Seattle, WA 98104. Columbus Circle Imaging, 1790 Broadway, 9th Floor, Yon- W00691 03/10/2006 NY...... kers, NY 10704. Bryn Mawr Imaging Center—PET, 100 Lancaster Ave- 473120 03/10/2006 PA...... nue,Wynnewood, PA 19096. Beth Israel Deaconess Medical Center, 330 Brookline Ave- 220086 03/10/2006 MA...... nue,Boston, MA 02215. Boca Raton Community Hospital, 800 Meadows Road,Boca 100168 03/10/2006 FL...... Raton, FL 33486. Centro Tomograficio de PR, Inc.,1409 Ashford Avenue,San 0087834 03/10/2006 PR...... Juan, PR 00907. Comprehensive Cancer Centers of Nevada, 3730 S. Eas- WCHCX 03/10/2006 NV...... ton,Las Vegas, NV 89109. Grossman Imaging Center of CMH, 2151 E. Gonzales W17252 03/10/2006 CA...... Road,Suite 101,Oxnard, CA 93036. Cookeville Regional Medical Center, 142 W. 5th 440059 03/10/2006 TN...... Street,Cookeville, TN 38501. Instituto Central de Diagnostico, Inc.,1er. Floor Oncologic 007835 03/10/2006 PR...... PR Medical Hospital,San Juan, PR 00928. Center.

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Facility name Provider number Date approved State Other information

Mercy Medical Center—Cedar Rapids, 701 Tenth Street, 16–0079 03/10/2006 IA...... SE.,Cedar Rapids, IA 52403. Midwest Radiologic Imaging—1144217241,4087 Gateway 1144217241 03/10/2006 IN...... Boulevard,Newburgh, IN 47630. Miami Valley Hospital, 1 Wyoming Street,Dayton, OH 45409 360051 03/10/2006 OH ...... Midwest Radiologic Imaging—214790,4087 Gateway Boule- 214790 03/10/2006 IN...... vard,Newburgh, IN 47630. Midwest Regional PET/CT Center, 6001 S. Sharon Avenue, 41406 03/10/2006 SD...... Suite #2,Sioux Falls, SD 57108. Mission HospitalPET Center, 222 Asheland Avenue,Asheville, 3400002 03/10/2006 NC...... NC 28801. Mobile Molecular Imaging, LLC, 100 Memorial Hospital 1003804345 03/10/2006 AL...... Drive,Suite 1E,Mobile, AL 36608. Nebraska Health Imaging, 7819 Dodge Street,Omaha, NE 098975 03/13/2006 NE...... 68114. Montgomery Metabolic & Memory Imaging Center, 7100 Uni- 057554625 03/13/2006 AL...... versity Ct.,Montgomery, AL 36117. Orange County Diagnostic Radiology, Inc.,17150 Euclid TD057 03/13/2006 CA...... Street,Suite 101,Fountain Valley, CA 92708. Northwest PET Imaging, 265 N. Broadway,Portland, OR 105512 03/13/2006 OR...... 97227. Nevada Cancer Institute Medical Group,One Breakthrough 100505 03/13/2006 NV...... Way, 10441 W. Twain Avenue,Las Vegas, NV 89135. Positron Emission Tomography Institute at Hampton, 5357 FVN001 03/13/2006 VA...... Henneman Drive,Norfolk, VA 23513. Positron Imaging Facility, 1311 Record Crossing Road,Mail UT000F626 03/13/2006 TX...... Code 9140,Dallas, TX 75235. Premier Diagnostic Imaging, 10019 Forest Green Boule- 9375201 03/13/2006 KY...... vard,Louisville, KY 40299. Positron PET/CT of the Southern Tier, 169 Riverside AA1047 03/13/2006 NY...... Drive,Binghamton, NY 13905. Radiology Regional Center, PA, Inc.—Naples, 700 Goodlette 77185 03/13/2006 FL...... Road,Naples, FL 34102. Somascan Plaza, Inc.,Suite 405 Torre de Plaza, Plaza Las 0089178 03/13/2006 PR...... Americas,San Juan, PR 00917. Somascan, Inc., Jose Marti #56, San Juan, PR 00917 ...... 0082435 03/13/2006 PR ...... Southern Indiana Radiological Associates, 500 Landmark Av- 214160 03/13/2006 IN...... enue, Bloomington, IN 47403. Southern Illinois Cancer Center, 10286 Fleming Road, 643740 03/13/2006 IL...... Carterville, IL 62918. South Nassau PET, One Healthy Way, Oceanside, NY 11572 97z851 03/13/2003 NY ...... Southwest Diagnostic Center for Molecular Imaging, 8440 FTN–015 03/13/2006 TX...... Walnut Hill Lane, Suite 100, Dallas, TX 75231. St. Mary’s Health Systems, 900 E. Oakhill Avenue, Knoxville, 440120 03/13/2006 TN...... TN 37917. Tower Diagnostic Center, 4719 N. Habana Avenue, Tampa, 00169 03/13/2003 FL...... FL 33614. Torrance Morial Medical Center, 3330 Lomita Boulevard, Tor- 050351 03/13/2006 CA...... rance, CA 90505. University of Colorado Hospital (AOP), 1635 N. Ursula Street, 06–0024 03/13/2006 CO...... Aurora, CO 80045. William Beaumont Hospital—Royal Oak, 3601 West 13 Mile 23030 03/13/2006 MI...... Road, Royal Oak, MI 48073–6769. Esther Quijoy Catalya, M.D., 3000 Oak Road #111, Walnut 00A449120 03/13/2006 CA...... Creek, CA 94597. Valley PET Institute, 311 S. Ham Lane, Lodi, CA 95242 ...... 00C283720 03/13/2006 CA ...... XXX Dan Ben-Zeev, M.D., 3000 Oak Road, #111, Walnut Creek, 00G129831 03/13/2006 CA...... CA 94597. Midwest Center for Advanced Imaging, 1307 Macom Drive, L72461 03/13/2006 IL...... Naperville, IL 60564. Crittenton Hospital Medical Center, 1101 W. University Drive, 230054 03/13/2006 MI...... Rochester, MI 48307. Medical Specialists of Palm Beaches, Inc., 5700 Lake Worth 33941A 03/13/2006 FL...... Road, Suite 204, Lake Worth, FL 33463. PET Medical Imaging Center, 3264 North Evergreen Drive, 0P02650 03/13/2006 MI...... Grand Rapids, MI 49525. Radiology Regional Center, PA, Inc.—RPET, 6100 Winkler 77185 03/13/2006 FL...... Road, Suite A, Fort Myers, FL 33919. Good Samaritan Hospital, 520 S. 7th Street, Vincennes, IN 150042 03/13/2006 IN...... 47591. Central Indiana Cancer Center, 6845 Rama Drive, Indianap- 065910 03/13/2006 IN...... olis, IN 46219. Decatur PET Imaging, 2774 W. Decatur Road, Decatur, GA 47BBBLP 03/13/2006 GA...... 30033.

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Facility name Provider number Date approved State Other information

Community Memorial Hospital, Medical Imaging, 855 S. Main 00439MPN 03/13/2006 WI...... Street, Oconto Falls, WI 54154. Olympic Radiology, 2700 Clare Avenue, Bremerton, WA 000242100 03/13/2006 WA...... 98310. Capitol Imaging, 3161 L Street, Sacramento, CA 95816 ...... 1285615294 03/13/2006 CA ...... National Medical Imaging—Bryn Mawr, 574 W. Lancaster Av- 024513 03/13/2006 PA...... enue, Bryn Mawr, PA 19010. National Medical Imaging—Langhorne, 2 Doublewoods Road, 024513 03/13/2006 PA...... Suite B, Langhorne, PA 19047. National Medical Imaging—Philadelphia, 1903–05 South 024513 03/13/2006 PA...... Broad Street, Philadelphia, PA 19148. University of VA Health System, Radiology, 1215 Lee Street, 490009 03/13/2006 VA...... Charlottesville, VA 22908. Florida Institute for Advanced Diagnostic Imaging, 9238 U.S. 59–3475930 03/13/2006 FL...... 19, Port Richey, FL 34668. Roseville PET & Nuclear Medicine Imaging, 2241 Douglas 1194706689 03/13/2006 CA...... Boulevard #110, Roseville, CA 95661. Memorial Sloan Kettering Cancer Center, 1275 York Avenue, 330154 03/13/2006 NY...... New York, NY 10021. Northeast PET Imaging Center, 8400 Roosevelt Boulevard, 083723 03/13/2006 PA...... Medical Arts Suite 208, Philadelphia, PA 19152. Center at Parte Ridge. UAMS PET Center, 4301 West Markham Street, Little Rock, 50528 03/13/2006 AR...... AR 72205. Joliet Oncology—Hematology Assoc., Ltd., 1600 W. Route 6, 205474 03/13/2006 IL...... Morris, IL 60450. Saint Luke’s Hospital, 4323 Wornall Road, Kansas City, MO 26–0138 03/13/2006 MO ...... AH Peet Center. 64111. Mercy Medical Center, 1320 Mercy Drive, Canton, OH 44708 360070 03/13/2006 OH ...... Dayton Medical Imaging Center, 7901 Schatz Pointe Drive, US1D00231 03/13/2006 OH...... Dayton, OH 45459. Community Radiology of Virginia, 2000 Leatherwood Lane, FVA002 03/13/2006 VA...... Bluefield, VA 24605. Bab Radiology—Huntington, 75 East Main Street, Huntington, W1L612 03/13/2006 NY...... NY 11743. Bab Radiology—Hauppauge, 521 Route 111, Suite 312, W1L601 03/13/2006 NY...... Hauppauge, NY 11788. Center for Diagnostic Imaging—37, 5775 Wayzata Boulevard, 470000037 03/13/2006 MN...... #190, St. Louis Park, MN 55416. Center for Diagnostic Imaging, 5775 Wayzata Boulevard, C01307 03/13/2006 MN...... Suite 190, St. Louis Park, MN 55416. Center for Diagnostic Imaging—Mendota Heights, 910 Sibley 470000038 03/13/2006 MN...... Memorial Highway, Mendota Heights, MN 55118. Huntsville Hospital Imaging Center, 1963 Memorial Parkway, 010039 03/13/2006 AL...... Huntsville, AL 35801. Long Beach PET Imaging Center, 2888 Long Beach Boule- TG167 03/13/2006 CA...... vard, Suite 110, Long Beach, CA 90806. Highway Imaging Associates, LLP, 2095 Flatbush Avenue, W10671 03/13/2006 NY...... Brooklyn, NY 11234. St. Vincent Hospital, PO Box 13508, Green Bay, WI 54307 ... 520075 03/13/2006 WI ...... Park South Imaging Center, 6215 21st Avenue West, #A, E1858 03/13/2006 FL...... Bradenton, FL 34209. Mary Bird Perkins Cancer Center, 4950 Essen Lane, Baton 57290 03/13/2006 LA...... Rouge, LA 70809. Boston Diagnostic Imaging, 398 Altamonte Drive, Altamonte E3510 03/13/2006 FL...... Springs, FL 32701. Sioux Valley Hospital Medical Center, 1305 W. 18th Street, 430027 03/13/2000 SD...... Sioux Falls, SD 57117. Indianapolis Regional PET Scan, LLC, 3830 Shore Drive, In- 207260 03/13/2006 IN...... dianapolis, IN 46254. St. Joseph’s PET Center, 1 Mercy Lane, Suite 105, Hot 5C739 03/13/2006 AR...... Springs, AR 71913. Hinsdale PET Scan, LLC, 812 Ogden Avenue, Westmont, IL 206271 03/13/2006 IL...... 60559. Del Amo PET Imaging Center, 3531 Fashion Way, Torrance, TP120 03/13/2006 CA...... CA 90501. North Shore PET Imaging Center, 85 Herrick Street, Beverly, 327110 03/13/2006 MA...... Beverly Hospital. MA 01915. Robert D. Russo & Associates Radiology, PC, PO Box 6128, C02013 03/13/2006 CT...... Bridgeport, CT 06606. Advanced Medical Specialties, 9035 Sunset Drive, Suite 102, K7806 05/03/2006 FL...... Miami, FL 33173. Baptist M & S Imaging Center—Downtown, 215 E. Quincy FTA078 05/03/2006 TX...... Street #100, San Antonio, TX 78215.

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Facility name Provider number Date approved State Other information

Community Cancer Center, 545 W. Umpqua Street, R116571 05/03/2006 OR...... Roseburg, OR 97470. Baptist M & S Imaging Center, 7888 Fredericksburg Road, FTA078 05/03/2006 TX...... San Antonio, TX 78228. Evanston Northwestern Healthcare—Highland Park, 757 Park 14–0010 05/03/2006 IL...... Avenue West, Highland Park, IL 60035. Grenada Diagnostic Radiology, 1300 Sunset Drive, Suite U, 470000034 05/03/2006 MS...... Grenada, MS 38901. Huntsman Cancer Hospital, 2000 Circle of Hope, Suite 2121, 460009 05/03/2006 UT...... Salt Lake City, UT 84112–5550. High Tech Medical Park, 11800 Southwest Highway, Palos 0703070 05/03/2006 IL...... Heights, IL 60463. Cyrus Diagnostic Imaging, Inc. 165 Waymont Court, Lake 40586 05/03/2006 FL...... Mary, FL 32746. Indiana Regional PET Imaging, 7891 Broadway, Suite A, 229400 05/03/2006 IN...... Merrillville, IN 46410. Lancaster PET Imaging, 2100 Harrisburg Pike, Lancaster, PA 054504 05/03/2006 PA...... 17601. James PET/CT Imaging Center, 236 Doan Hall, Columbus, 360242 05/03/2006 OH ...... 410 W. 10th Ave. OH 43210. Mary Lanning Memorial Hospital, 715 N. St. Joseph Avenue, 280032 05/03/2006 NE...... Hastings, NE 68901. Maplewood Cancer Center—MOHPA, 1580 Beam Avenue, C01828 05/03/2006 MN...... Maplewood, MN 55109. Titusville Area Hospital, 406 W. Oak Street, Titusville, PA 390122 05/03/2006 PA...... 16354. Memorial Hospital, 325 S. Belmont Street, York, PA 17403 .... 390101 05/03/2006 PA ...... Mercy Regional Health Center, 1823 College Avenue, Man- 17–0142 05/03/2006 KS...... hattan, KS 66502. Northshore Regional PET Scan, LLC 1464 Waukegan Road, 206272 05/03/2006 IL...... Glenview, IL 60025. Northwest Indiana PET/CT Center, 1505 S. Calumet Road, 229810 05/03/2006 AL...... Suites 7 & 8 Chesterton, IN 46304. Parkway Ventures, Inc., 9000 Franklin Square Drive, Balti- FMN002 05/03/2006 MD...... Franklin Square more, MD 21237. Hospital. PET Fusion Imaging, 3707 New Vision Drive, Fort Wayne, IN 190320 05/03/2006 IN...... 46845. River Oaks Imaging & Diagnostics, PO Box 4346, Houston, FTA059 05/03/2006 TX...... Dept 848. TX 77210. Regional PET Scan, LLC—Beachwood, 2000 Auburn Road, REID02211 05/03/2006 OH...... Beachwood, OH 44122. Regional PET Scan, LLC—Fairview, 20455 Lorain Road, REID02211 05/03/2006 OH...... Fairview Park, OH 44126. Regional PET Scan, LLC—Ridgepark, 7575 Northcliff Ave- REID02211 05/03/2006 OH...... nue, Brooklyn, OH 44144. Saint Francis Hospital, 114 Woodland Street, Hartford, CT 07–0002 05/03/2006 CT...... 06105. St Nicholas Hospital, 3100 Superior Avenue, Sheboygan, WI 520044 05/03/2006 WI...... 53081. Swedish Medical Center, 501 E. Hampton Avenue, Engle- 060034 05/03/2006 CO...... wood, CO 80113. St Bernards PET Center, 225 E. Jackson Avenue, Jonesboro, 5C658 05/03/2006 AR...... AR 72401. Toledo Regional PET Scan, LLC, 3442 Granite Circle, To- T0ID01881 05/03/2006 OH...... ledo, OH 43617. University MRI, 3848 F.A.U. Boulevard, Suite 200, Boca E1765 05/03/2006 FL...... Raton, FL 33431. Tucson PET Imaging, 5355 E. Erickson Drive, Tucson, AZ WCBBM 05/03/2006 AZ...... 85712. Via Christi Oklahoma Regional Medical Center, 1900 N. 14th 370006 05/03/2006 OK...... Street, Ponca City, OK 74601. Christian Hospital, 11133 Dunn Road, St Louis, MO 63136 .... 260180 05/03/2006 MO ...... DRA Imaging PC, 1 Columbia Street, Poughkeepsie, NY W18691 05/03/2006 NY...... 12601. Cleveland Clinic Star Imaging, 921 Jasonway Avenue, Co- 34–1932969 05/03/2006 OH...... lumbus, OH 43214. Norman PET Associates, LLC 3750 W. Robinson Street Suite 900522224 05/03/2006 OK...... 130 Norman, OK 73072. Rhode Island PET Services—St. Josephs, 200 High Service 479003556 05/03/2006 RI...... Avenue, N Providence, RI 02904. Rhode Island PET Services—South County Hospital, 100 479003556 05/03/2006 RI...... Kenyon Avenue, Wakefield, RI 02879. Rhode Island PET Services—Roger Williams, 825 Chalkstone 479003556 05/03/2006 RI...... Avenue, Providence, RI 02908.

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Facility name Provider number Date approved State Other information

Rhode Island PET Services—Landmark, 115 Cass Avenue, 479003556 05/03/2006 RI...... Woonsocket, RI 02895. Forest City Diagnostic Imaging, 735 Perryville Road, Rock- 546450 05/03/2006 IL ...... Lower Level 2. ford, IL 61107. New England Molecular Imaging—York, 15 Hospital Drive, 479003556 05/03/2006 ME...... York, ME 03909. Pavilion Imaging, 750 Wellington Avenue, Grand Junction, 060023 05/03/2006 CO...... CO 81502. Lifescan Chicago, 2242 W. Harrison Street, Chicago, IL 470000014 05/03/2006 IL...... 60612. Southeast Medical Imaging, 300 Evergreen Drive, Suite 210, 092801 05/03/2006 PA...... Glen Mills, PA 19342. The Western Pennsylvania Hospital, 4800 Friendship Ave- 390090 05/03/2006 PA...... nue, Pittsburgh, PA 15224. Southtowns PET/CT, 550 Orchard Park Road, West Seneca, 14422A 05/03/2006 NY...... NY 14224. Main Street Radiology—Bayside, 44–01 Francis Lewis Boule- 04217 05/03/2006 NY...... vard, Bayside, NY 11361. Main Street Radiology—Bayside, 44–01 Francis Lewis Boule- 04217A 05/03/2006 NY...... vard, Bayside, NY 11361. West VA University Center for Advanced Imaging, 1 Medical 9121131 05/03/2006 WV ...... PO Box 9236, Center Drive, Morgantown, WV 26506. Health Center South. Twin Lakes Medical Specialist, PA, 228 Bucher Drive, Moun- 5B019 05/03/2006 AR...... tain Home, AR 72653. Valley Metabolic Imaging, LLC, 6121 N Thesta Street, Fres- ZZZ23924Z 05/03/2006 CA...... Suite 207. no, CA 93710. Johnson City Medical Center, 400 North State of Franklin, 440063 05/03/2006 TN...... Johnson City, TN 37642. St Louis University Hospital, 3665 Vista Avenue, St Louis, 000050109 05/03/2006 MO...... MO 63110. Margaret R. Pardee Memorial Hospital, 800 North Justice 340017A 05/03/2006 NC...... Street, Hendersonville, NC 28791. Valley Imaging Partnership, 1401 W. Merced Avenue, #103, TP035 05/03/2006 CA...... West Covina, CA 91790. Sierra Imaging, 155 Calle Portal, Sierra Vista, AZ 85635 ...... Z68496 05/03/2006 AZ ...... Aspirus Wausau Hospital, 333 Pine Ridge Boulevard, 520030A 05/03/2006 WI...... Wausau, WI 54401. Cancer Care Northwest PET Center, 910 W 5th, Spokane, 1922072081 05/03/2006 WA...... Suite 130. WA 99204. PET/CT Imaging of North Texas, 2900 North I–35, Denton, 00088Y 05/03/2006 TX...... Suite 119. TX 76201. Loyola University Health System, 2160 S. First Avenue, May- 140276 05/03/2006 IL...... wood, IL 60153. St. Elizabeth Medical Center, One Medical Village Drive, 180035 05/03/2006 KY...... Edgewood, KY 41017. Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195 ...... 9925511 05/03/2006 OH ...... Ingalls Family Care Center, 6701 159th Street, Tinley Park, IL 14–0191 05/03/2006 IL...... 60477. PET Fusion Center, 4204 Houma Boulevard, Metairie, LA 5CB31 05/03/2006 LA...... 70006. United Regional Medical Center, 1001 McArthur Drive, Man- 440007 05/03/2006 TN...... chester, TN 37355. Joel Bernstein, MD, 5395 Ruffin Road, Suite 202, San Diego, W18972 05/03/2006 CA...... CA 92123. Hasnat Ahmed, MD, 5395 Ruffin Road, Suite 202, San W18370 05/03/2006 CA...... Diego, CA 92123. Meridian North Imaging Center, 12188 N. Meridian Street, 026010 05/03/2006 IN...... Suite 100. Carmel, IN 46280. Cancer Center Oncology Medical Group, 5395 Ruffin Road, W12245A 05/06/2006 CA...... Suite 202, San Diego, CA 92123. Firelands Regional Medical Center, 1101 Decatur Street, 360025 05/03/2006 OH...... Sandusky, OH 44870. United Radiology—Greenbelt, PO Box 34979, West Be- FMN007 05/03/2006 MD...... thesda, MD 20827. Richard Just, MD, 5395 Ruffin Road, Suite 202, San Diego, W16197 05/03/2006 CA...... CA 92123. Michael Kipper, MD, 5395 Ruffin Road, Suite 202, San A24091 05/03/2006 CA...... Diego, CA 92123. McLaren Regional Medical Center, 401 S. Ballenger High- 230141 05/03/2006 MI...... way, Flint, MI 48532. United Radiology—Silver Spring, PO Box 34979, West Be- FMN007 05/03/2006 MD...... thesda, MD 20827.

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Facility name Provider number Date approved State Other information

United Radiology—Rockville, PO Box 34979, West Bethesda, FMN007 05/03/2006 MD...... MD 20827. St Mary’s Health Center, 6420 Clayton Road, St Louis, MO 260091 05/03/2006 MO...... 63117. Bay Regional Medical Center, 1900 Columbus Avenue, Bay 230041 05/03/2006 MI...... City, MI 48708. Lapeer Regional Medical Center, 1375 N. Main Street, 230193 05/03/2006 MI...... Lapeer, MI 48446. Scottsdale Medical Imaging, Ltd.—SW Diagnostics, 9003 E. 1902896236 05/03/2006 AZ...... Shea Boulevard, Scottsdale, AZ 85260. Valley Medical Oncology Consultants, Inc., 3000 Oak Road, ZZZ29659Z 05/03/2006 CA...... #111, Walnut Creek, CA 94597. Northwest Community Hospital, 800 W Central Road, Arling- 36–2340313 05/03/2006 IL...... ton Heights, IL 60005. PET Imaging of Dallas, 8333 Douglas Avenue, C–20, Dallas, FTN017 05/03/2006 TX...... TX 75225. PET Imaging of Dallas—Northeast, 1250 R Northwest High- FTN028 05/03/2006 TX...... way, Garland, TX 75041. St Joseph’s Regional Medical Center, 703 Main Street, 310019 05/03/2006 NJ...... Paterson, NJ 07503. PET Imaging of Houston, 2493–A South Braeswood, Hous- FTN010 05/03/2006 TX...... ton, TX 77030. Goshen General Hospital, 200 High Park Avenue, Goshen, 150026 05/03/2006 IN...... IN 46526. PET Imaging of ELMC, 8550 West 38th Avenue, Suite 102, 800665 05/03/2006 CO...... Wheat Ridge, CO 80033. PET Imaging of Houston—Southeast, 6021 Fairmont Park- FTN030 05/03/2006 TX...... way, Suite 120, Pasadena, TX 77505. Peninsula Imaging, LLC, 560 Riverside Drive, Suite A104, 481L 05/03/2006 AL...... Salisbury, MD 21801. Zwanger—Pesiri, 126 Hicksville Road, Massapequa, NY W13931 05/03/2006 NY...... 11758. Las Calinas PET Imaging, LLP, 1110 Cottonwood Lane, Ir- FTN019 05/03/2006 TX...... Suite 220. ving, TX 75038. Mt Carmel Regional Medical Center, 1102 East Centennial, 014041 05/03/2006 KS...... Pittsburg, KS 66762. Iowa Blood & Cancer Care, PLC, 855 A. Avenue NE., Cedar I6672 05/03/2006 IA...... Medical Office Rapids, IA 52402. Plaza, LL4. Hackensack University Medical Center, 30 Prospect Avenue, 310001 05/03/2006 NJ...... Hackensack, NJ 07601. McLeod PET Imaging Center, 800 East Cheves Street, Flor- 570370242001 05/03/2006 SC...... Suite 170. ence, SC 29501. St Alexius Medical Center, 900 E. Broadway Avenue, Bis- 35–0002 05/03/2006 ND ...... PO Box 5510. marck, ND 58506. Center for Diagnostic Imaging, 1295 Orange Avenue, Winter K0097 05/03/2006 FL...... Park, FL 32789. Charleston Radiologists, PA, 9313 Medical Plaza Drive, 1709 05/03/2006 SC...... Suite 302. Charleston, SC 29406. PET Imaging of Houston—West, 9525 Katy Freeway, Suite FTN023 05/03/2006 TX...... 102, Houston, TX 77024. University Hospitals of Cleveland, 11100 Euclid Avenue, 36–0137 05/03/2006 OH...... Mailstop Cleveland, OH 44106. BSHB5056. PET Imaging of Sugar Land, 17320 W Grand Parkway S., FTN027 05/03/2006 TX...... Suite A, Sugar Land, TX 77479. PET Imaging of Oklahoma City, 1000 N. Lincoln Boulevard, 800522283 05/03/2006 OK...... Suite 250, Oklahoma City, OK 73104. PET Imaging of Tulsa, 6711 S. Yale, #104, Tulsa, OK 74136 400522320 05/03/2006 OK ...... PET Imaging of The Woodlands, 3091 College Park Drive, FTN021 05/03/2006 TX...... Suite 340, The Woodlands, TX 77384. Tarrant Diagnostic Imaging, 1121 8th Avenue, Fort Worth, TX FTN012 05/03/2006 TX...... 76104. Wyandot Memorial Hospital, 85 North Sandusky Avenue, 361329 05/03/2006 OH...... Upper Sandusky, OH 43351. Oregon Health & Science University, 3181 SW Sam Jackson 380009 05/03/2006 OR...... Park Road, Portland, OR 97229. Saint John’s Health System, 2015 Jackson Street, Anderson, 150088 05/03/2006 IN...... IN 46016. Hudson Valley PET Imaging, LLC, 160 North Midland Ave- W1L903 05/03/2006 NY...... nue, Nyack, NY 10960. Kingston Diagnostic Center, 167 Schwenk Drive, Kingston, W1L921 05/03/2006 NY...... NY 12401. Appleton Medical Center, 1818 N. Meade Street, Appleton, 520160 05/03/2006 WI...... WI 54911.

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Facility name Provider number Date approved State Other information

St. Elizabeth Health Center, 1044 Belmont Avenue, Youngs- 360064 05/03/2006 OH...... town, OH 44501. Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, 210012 05/03/2006 MD...... Baltimore, MD 21215. Associates in Radiology of Plattsburgh, NY, 762 Route 3, 33572A 05/03/2006 NY...... Suite 14, Plattsburgh, NY 12901. Affiliated PET Systems—Rockville, 9711 Medical Center FDNX01 05/03/2006 MD...... Drive, Rockville, MD 20850. Lake Medical Imaging & Breast Center, 1400 U.S. Highway 59–3522082 05/03/2006 FL...... 441 North,Suite 510, The Villages, FL 32159. Affiliated PET Systems—Silver Spring, 1400 Forest Glen FDNX01 05/03/2006 MD...... Suite 430. Road, Silver Spring, MD 20910. North Texas Clinical PET Institute, 3535 Worth Street, Suite 99R339 05/03/2006 TX...... 150, Dallas, TX 75246. Lake Imaging Center, 801 E. Dixie Avenue, Suite 104, Lees- 59–3635297 05/06/2006 FL...... burg, FL 34748. Edwards Comprehensive Cancer Center 1400 Hal Greer 510055 05/03/2006 WV...... Boulevard, Huntington, WV 25701. Allison Cancer Center, 301 North N Street, Midland, TX 140414744 05/03/2006 TX...... 79701. Clinical PET of Leesburg, 8525 U.S. Highway 441, Leesburg, E7179A 05/03/2006 FL...... FL 34748. Greene Medical Imaging, PC, 159 Jefferson Heights, D–106, W25021 05/03/2006 NY...... Catskill, NY 12414. Caritas PET Imaging, LLC–Norwood Hosp, 70 Walnut Street, 32–7092 05/03/2006 MA...... Caritas Norwood Foxboro, MA 02035. Hospital—Foxboro Campus. Caritas PET Imaging, LLC–New England Medical Center, 750 32–7092 05/03/2006 MA...... Tufts—New Washington Street, Boston, MA 02111. England Medical Center. Austin, Radiological Assn.—San Marcos, 1348 B Highway 74–1597116 05/03/2006 TX...... 123 South, San Marcos, TX 78666. ARA Imaging—Rock Creek, 2120 N Mays, #220, Round 20–1651590 05/03/2006 TX...... Rock, TX 78664. ARA Imaging—Southwood, 1701 W. Ben White Boulevard, 20–1651590 05/03/2006 TX...... #170, Austin, TX 78704. Elkhart General Hospital, 600 East Boulevard, Elkhart, IN 15–0018 05/03/2006 IN...... 46514. Austin, Radiological Assn.—Midtown, 1301 W. 38th Street, 74–1597116 05/03/2006 TX...... Suite 100, Austin, TX 78705. Caritas PET Imaging, LLC–St. Elizabeth’s, 736 Cambridge 32–7092 05/03/2006 MA...... St. Elizabeth’s Street, Boston, MA 02135. Medical Center. Global PET Imaging, LLC, 1800 Hollister Drive, Suite G–10, 309590 05/03/2006 IL...... Grand Oaks Libertyville, IL 60048. Health Center. Caritas PET Imaging, LLC–Carney Hospital, 2100 Dorchester 32–7092 05/03/2006 MA...... Caritas Carney Avenue, Dorchester, MA 02124. Hospital. Caritas PET Imaging, LLC–Milton Hospital, 92 Highland 32–7092 05/03/2006 MA...... Street, Milton, MA 02186. Caritas PET Imaging, LLC–St. Anne’s Hospital, 795 Middle 32–7087 05/03/2006 MA...... St. Anne’s Street, Fall River, MA 02721. Hospital. Caritas PET Imaging, LLC–Good Samaritan, 235 North Pearl 32–7087 05/03/2006 MA...... Caritas Good Street, Brockton, MA 02301. Samaritan Medical Center. Panhandle PET Imaging, 6700 W. 9th Avenue, Amarillo, TX TFN0007 05/03/2006 TX...... 79106. PET Imaging of San Francisco, 1700 California Street, Suite ZZZ–223–782 05/03/2006 CA...... 480, San Francisco, CA 94109. PET/CT Imaging of Berkeley, 2855 Telegraph Avenue, Suite ZZZ–288–837 05/03/2006 CA...... 100, Berkeley, CA 94705. Western Maryland Health System—Sacred Heart Campus, 210027 05/03/2006 MD...... Western Maryland 902 Seton Drive, Cumberland, MD 21502. Health System— Sacred Heart Campus. Desert PET Imaging, LLC, 1180 N. Indian Cyn Drive, Palm ZZZ28648Z 05/03/2006 CA...... Springs, CA 92262. First PET of Stockton, 4744 Quail Lake Drive, Stockton, CA 00A484230 05/03/2006 CA...... 95207. Utah Cancer Specialist, 3838 South 700 East, Salt Lake City, 57172 05/03/2006 UT...... Suite 100. UT 84106. Washington Radiology Associates, PC, 2121 K Street, NW., WA409885 05/03/2006 DC...... Suite T–120. Washington, DC 20006. New Rochelle Radiology Associates, PC, 175 Memorial High- W05571 05/03/2006 NY...... way, New Rochelle, NY 10801.

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Facility name Provider number Date approved State Other information

North Little Rock PET Associates, LLC, 3500 Springhill Drive, 5F437 05/03/2006 AR...... Suite 100. North Little Rock, AR 72117. Advanced Imaging Concepts, PL, 13063 Cortez Boulevard, 94774 05/03/2006 FL...... Brooksville, FL 34613. Mansfield Imaging Center, 536 S. Trimble Road, Mansfield, MAD10921 05/03/2006 OH...... OH 44906. West Tennessee Imaging Center, 300 Coatsland Drive, Jack- 44–0002 05/03/2006 TN...... son, TN 38305. Imaging Center of North Central Indiana, Inc., 2201 W. Bou- 224110 05/03/2006 IN...... levard, Kokomo, IN 46902. University of Kansas Hospital, 3901 Rainbow Boulevard, Kan- 17–00040 05/03/2006 KS...... Division of sas City, KS 66160. Nuclear Medicine. PET Imaging of SWLA, LLC, 600 Bayou Pines East, Lake 5CK63 05/03/2006 LA...... Suite A. Charles, LA 70601. Community Imaging Partners of Frederick, 67 Thomas John- 980M 05/03/2006 MD...... son Drive, Frederick, MD 21702. Community Imaging Partners of Olney, 18111 Prince Phillip 409410 05/03/2006 MD...... Community Drive, #T–20, Olney, MD 20832. Imaging Partners. The West Clinic, PC, 100 N. Humphreys Boulevard, Mem- 3704066 05/03/2006 TN...... phis, TN 38120. Imaging Central LLC, 7111 W. Central Avenue, Toledo, OH IMID01641 05/03/2006 OH...... 43617. Advanced Radiology—Dixon, 291 Stoner Avenue, West- 527L 05/03/2006 MD...... minster, MD 21157. Advanced Radiology—Harford Imaging, 104 Plumtree Road, 527L 05/03/2006 MD...... Suite 106. Bel Air, MD 21015. Advanced Radiology—Cross Roads, 4801 Dorsey Hall Road, 527L 05/03/2006 MD...... Suite 101. Ellicott City, MD 21042. Advanced Radiology—PET Imaging of MD, 1700 527L 05/03/2006 MD...... Suite 119. Reisterstown Road, Baltimore, MD 21208. Cancer & Blood Disease Center, 521 N. Lecanto Highway, 72840 05/03/2006 FL...... Lecanto, FL 34461. Huntington Outpatient Imaging Center, Inc., 800 S. Fairmount W1575B 05/03/2006 CA...... Suite 120. Avenue, Pasadena, CA 91105. Universal Imaging, Inc., 4600 Investment Drive, Troy, MI ON69130 05/03/2006 MI...... 48083. Berger Health System, 1170 North Court Street, Circleville, 360710 05/03/2006 OH...... OH 43113. Contemporary Imaging—Trenton, 1676 Fort Street, Trenton, 0P23200 05/03/2006 MI...... MI 48183. South Tulsa PET, LLC, 7712 S. Yale Avenue, Tulsa, OK 800522360 05/03/2006 OK...... Suite 100. 74136. Cancer Center of the Carolinas, 200 Andrews Street, Green- 6526 05/03/2006 SC...... Suite 100. ville, SC 29601. OSF Saint Francis Medical Center, 530 NE Glen Oak Ave- 14–0067 05/03/2006 IL...... nue, Peoria, IL 61637. Sacred Heart—St. Mary’s Hospitals, Inc., 2251 Northshore 1100700 05/03/2006 WI...... Drive, Rhinelander, WI 54501. Capital Region Radiation Therapy & Imaging, 3400 W. Tru- 260047 05/03/2006 MO...... PO 150832. man Boulevard, Jefferson City, MO 65109. University PET/CT Imaging, 19 Bradhurst Avenue, Haw- W2Y371 05/03/2006 NY...... Suite 1200. thorne, NY 10532. Aztech Radiology—Apache Trail, 1840 W. Apache Trail, Z72398 05/03/2006 AZ...... Apache Junction, AZ 85222. Aztech Radiology—Casa Grande, 1669 E McMurray Boule- Z25341 05/03/2006 AZ...... vard, Casa Grande, AZ 85222. Missouri Cancer Associates, 105 N. Keene Street, Columbia, 000012700 05/03/2006 MO...... Suite 100. MO 65201. White River Medical Center, 1710 Harrison Street, Batesville, 040119 05/03/2006 AR...... AR 72501. Englewood Hospital & Medical Center, 350 Engle Street, En- 310045 05/03/2006 NJ...... glewood, NJ 07631. Regional Imaging & Therapeutic Radiology Services, 360 1023095445 05/03/2006 NY...... Bard Avenue, Staten Island, NY 10310. Rocky Mountain Cancer Centers—South, 7951 E. Maplewood 204508 05/03/2006 CO...... Avenue, Suite 300, Greenwood Village, CO 80111. Rocky Mountain Cancer Centers—North, 7951 E. Maplewood 204508 05/03/2006 CO...... Avenue, Suite 300, Greenwood Village, CO 80111. Molecular Imaging of Hamilton County—Bethesda, 4197 Ful- MOID01221 05/03/2006 OH...... ton Road, NW., Suite C, Canton, OH 44718. Molecular Imaging of Hamilton County—Good Sam, 4197 MOID01221 05/03/2006 OH...... Fulton Road, NW., Suite C, Canton, OH 44718. Kettering Medical Center, 3535 Southern Boulevard, Ket- 360079 05/03/2006 OH...... tering, OH 45429.

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Facility name Provider number Date approved State Other information

St. Mary’s Hospital, 5801 Bremo Road, Richmond, VA 23226 540793767 05/03/2006 VA ...... Columbus Medical Institute of NY, 97–85 Queens Boulevard, 05679 05/03/2006 NY...... Rego Park, NY 11374. Meadville Medical Center, 1034 Grove Street, Meadville, PA 39–0113 05/03/2006 PA...... 16335. Chambersburg Hospital—Radiology, 112 North Seventh 390151 05/03/2006 PA...... Street, Chambersburg, PA 17201. Oregon Advanced Imaging, 881 O’Hare Parkway, Medford, R114546 05/03/2006 OR...... OR 97504. Singing River Hospital, 2809 Denny Avenue, Pascagoula, MS 250040 05/03/2006 MS...... 39581. East Texas Medical Center—Tyler, 1000 S. Beckham Ave- 4500833 05/03/2006 TX...... nue, Tyler, TX 75701. Columbia, St. Mary’s Hospital, 2025 E. Newport Avenue, Co- 520051 05/03/2006 WI...... lumbia Campus, Milwaukee, WI 53211. Sharon Regional Health System, 740 East State 390211 05/03/2006 PA...... Street,Sharon, PA 16146. Northern Ohio Imaging Center, 1900 West River Road,Elyria, 36–0172 05/03/2006 OH...... OH 44035. Oxford Valley Diagnostic Center, 940 Town Center 232745550 05/03/2006 PA...... Suite F50>. Drive,Langhorne, PA 19047. The Emory Clinic, 1365 Clifton Road,Building C,Room Court 582030692 05/03/2006 GA...... 048,Atlanta, GA 30322. Alegent Health Bergan Mercy Medical Center, 7500 Mercy 280060 05/03/2006 NE...... Road,Omaha, NE 68124. University Center Imaging, 1065 Delaware Avenue,Marion, 20–3873307 05/03/2006 OH...... OH 43302. Elk Regional Health Center, 763 Johnsonburg Road,St 39–0154 05/03/2006 PA...... Mary’s, PA 15857. Health Park Hospital, 1636 Higdon Ferry Road,Hot Springs, 04–0142 05/03/2006 AR...... AR 71913. Johnsonburg Health Center, 81 Clarion Road,Johnsonburg, 39–0104 05/03/2006 PA...... PA 15845. Jane Phillips Medical Center, 3500 E. Frank Phillips Boule- 370015 05/03/2006 OK...... vard,Bartlesville, OK 74006. North Main Imaging Center, 7650 First Place,Suite NEID01521 05/03/2006 OH...... B,Oakwood Village, OH 44146. PET Imaging Center of Delaware County—DCMH, 501 North 390081 05/03/2006 PA...... Lansdowne Avenue,Drexel Hill, PA 19026. NEO—PET CRC Imaging, 7650 First Place,Suite B,Oakwood NEID01521 05/03/2006 OH...... Village, OH 44146. PET Imaging Center of Delaware County—Springfield, 190 381080 05/03/2006 PA...... West Sproul Road,Springfield, PA 19064. Harper University Hospital, 3990 John R Street,Detroit, MI 230104 05/03/2006 MI...... 48201. Sinai—Grace Hospital, 6071 W. Outer Drive,Detroit, MI 23–0024 05/03/2006 MI...... 48235. Seattle Radiologists APC, 1229 Madison Street,Seattle, WA G0001589600 05/03/2006 WA...... #900. 98104. Huron Valley—Sinai Hospital, 1 William Carl 23–0277 05/03/2006 MI...... Drive,Commerce, MI 48382. East Memphis PET Imaging, 6005 Park Avenue,Memphis, TN 3374526 05/03/2006 TN...... Suite 101B. 38119. UPMC—PET Imaging Facility, 200 Lothrop Street,Pittsburgh, 390164 05/03/2006 PA ...... 9th Floor, B— PA 15213. Wing PUH. UPMC—PET Imaging Facility, 300 Halket Street,Pittsburgh, 390114 05/03/2006 PA...... PA 15213. Rhode Island Hospital, 593 Eddy Street,Providence, RI 02903 05–025–8954 05/03/2006 RI...... David C. Pratt Cancer Center, 607 South New Bulbs Road,St 260020 05/03/2006 MO...... Louis, MO 63141. Lewistown Hospital, 400 Highland Avenue,Lewistown, PA 390048 05/03/2006 PA...... 17044. Lawrence Memorial Hospital, 325 Maine Street,Lawrence, KS 170137 05/03/2006 KS...... 66044. Jameson Hospital, 1211 Wilmington Avenue,New Castle, PA 39–0016 05/03/2006 PA...... 16105. Diagnostic Clinic of Houston, 1200 Binz Street,Houston, TX 76–0203506 05/03/2006 TX...... 77004. Arlington Heights Radiology Center, LLC, 121 South Wilke 212301 05/03/2006 IL...... Road,Arlington Heights, IL 60005. Oregon Imaging Center, 1200 Hilyard Street,Eugene, OR R0000WCPGH 05/03/2006 OR...... #330. 97401. Arlington Heights Radiology Center, LLC, 121 South Wilke 212301 05/03/2006 IL...... Road,Arlington Heights, IL 60005.

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Facility name Provider number Date approved State Other information

Indiana Univ Radiology Assoc PET Imaging Center, 950 W. 959090 05/03/2006 IN...... Walnut Street,Room E124,Indianapolis, IN 46202. Morristown Memorial Hospital, 100 Madison Ave- 310015 05/03/2006 NJ...... nue,Morristown, NJ 07962. Baton Rouge Radiology Group, 5422 Dijon Drive,Baton 5B039 05/03/2006 LA...... Rouge, LA 70808. North Texas PET Imaging, 3720 South I–35E,Denton, TX 752131429 05/03/2006 TX...... 76210. Children’s Hospital of Michigan PET Center, 3901 Beaubien 23–3300 05/03/2006 MI...... Street,Detroit, MI 48201. Winchester Medical Center, 1840 Amherst Street,Winchester, 490005 05/03/2006 VA...... VA 22601. Decatur Health Imaging, LLC, 1123 16th Avenue, 051555161 05/03/2006 AL...... SE.,Decatur, AL 35601. Health Imaging Services, LLC, 1760 Warnke Circle, 051553273HEA 05/03/2006 AL...... NE.,Cullman, AL 35058. PET/CT Imaging of the Mainline, 21 Industrial Boulevard, 097715 05/03/2006 PA...... Suite 103, Paoli, PA 19301. PET Imaging of Brevard, 1430 Pine Street, Melbourne, FL 39254 05/03/2006 FL...... 32901. North Carolina Baptist Hospital, Medical Center Boulevard, 34–0047 05/03/2006 NC...... Winston Salem, NC 27157. St Francis Hospital, 34515 9th Avenue S, Federal Way, WA 500108 05/03/2006 WA...... 98003. Saint Barnabas Outpatient Center, 200 S. Orange Avenue, 440149 05/03/2006 NJ...... Livingston, NJ 07039. PET/CT Imaging of Ramapa Radiology, 972 Route 45, Suite W21711 05/03/2006 NY...... 106, Pomona, NY 10970. Medical University of South Carolina PET/CT, 169 Ashley Av- 420004 05/03/2006 SC...... enue, Charleston, SC 29425. Akron General Medical Center, 300 Wabash Avenue, Akron, 36–0027 05/03/2006 OH...... OH 44307. New England Molecular Imaging—Mercy Hospital, 144 State NE327075 05/03/2006 ME...... Road, Portland, ME 04103. New England Molecular Imaging—Penobscot Bay, 6 Glenn NE327076 05/03/2006 ME...... Cove Drive, Rockport, ME 04856. Center for Outpatient Services—St. Joseph, 3900 Hollywood 23–0021 05/03/2006 MI...... Road, St. Joseph, MI 49085. New England Molecular Imaging—Central Maine, 12 High NE327076 05/03/2006 ME...... Street, Lewiston, ME 04240. Imaging Consultants, Inc.—Berkshire, 8 Conte Drive, Pitts- 327085 05/03/2006 MA...... field, MA 01210. Imaging Consultants, Inc.—Boston Medical, 840 Harrison Av- 327083 05/03/2006 MA...... enue, Boston, MA 02118. Imaging Consultants, Inc.—Boston PET, One Brookline, 327083 05/03/2006 MA...... Place, Brookline, MA 02445. Baptist Memorial Hospital PET Center, 6027 Walnut Grove 44–0048 05/03/2006 TN...... Road, Memphis, TN 38120. Southern Oklahoma PET/CT Imaging, 701 E. Robinson 90015477 05/03/2006 OK...... Street, Norman, OK 73071. Ann G. Fetters Diagnostic Imaging Center, 2151 N. Harbor 050168 05/03/2006 CA...... Boulevard, Fullerton, CA 92835. Pitt County Memorial Hospital, 2100 Stantonsburg Road, 56–0585243 05/03/2006 NC...... Greenville, NC 27835. Inland Imaging, LLC, 105 W. 8th Avenue, Spokane, WA AB01749 05/03/2006 WA...... Suite 100C. 99202. University of Chicago Hospitals, 5758 S. Maryland Avenue, 140088 05/03/2006 IL...... Room #0150. Chicago, IL 60637. Birch Medical Imaging Center, 20162 SW Birch Street, New- W19353 05/03/2006 CA...... port Beach, CA 92660. Tennessee Oncology PET Services, 2018 Murphy Avenue, 3709319 05/03/2006 TN...... Suite 200. Nashville, TN 37203. Tennessee PET Scan, 1020 N. Highland Avenue, 3791187 05/03/2006 TN...... Suite A. Murfreesboro, TN 37130. Texas Oncology—Harris Center HEB, 1615 Hospital Park- 00R66C 05/03/2006 TX...... Suite 300, way, Bedford, TX 76022. Greater Dayton Cancer Center, 3120 Governor’s Place Bou- 9295791 05/03/2006 OH...... levard, Kettering, OH 45409. Martha Jefferson Hospital, 459 Locust Avenue, Charlottes- 490077 05/03/2006 VA...... ville, VA 22902. Modern Diagnostic Imaging, 600 S. Dobson Road, Chandler, 107628 05/03/2006 AZ...... Suite B–16. AZ 85224. Christiana Care Nuclear Medicine/PET, 4755 Ogletown— 080001 05/03/2006 DE...... Stanton Road, Newark, DE 19718.

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Facility name Provider number Date approved State Other information

Advanced Imaging of Port Charlotte, LLC, 2625 Tamiami K6802 05/03/2006 FL...... Suite 1. Trail, Port Charlotte, FL 33952. St. Joseph’s Diagnostic Center—MLK, 3003 Martin Luther 97779 05/03/2006 FL...... King, Jr. Boulevard, Tampa, FL 33067. South Carolina Oncology Associates, 166 Stoneridge Drive, 6275 05/03/2006 SC...... Columbia, SC 29210. South Carolina Oncology Associates, 166 Stoneridge Drive, 6276 05/03/2006 SC...... Columbia, SC 29210. Access Health Imaging, 5257 Highway 82, East, Lake Village, 5M809 05/03/2006 AR...... AR 71653. PET/CT Services of Florida—Beverly Hills, 3404 N. Lecanto V0103 05/03/2006 FL...... Beverly Hills Highway, Beverly Hills, FL 34465. Medical Park. PET/CT Services of Florida—Ocala, 1541 SW 1st Avenue, V0103 05/03/2006 FL...... Suite 101B. Ocala, FL 34474. Blanchard Valley Regional Health Center, 145 W. Wallace 360095 05/03/2006 OH...... Street, Findlay, OH 45840. Papastavros Associates Medical Imaging, 1701 Augustine 1083615561 05/03/2006 DE...... Cut—Off, Wilmington, DE 19803. PET Imaging of Willowbrook, 13300 Hargrave Road, Hous- FTN032 05/03/2006 TX...... Suite 130. ton, TX 77070. PET Imaging of Northern Colorado, 1915 Wilmington Drive, 804621 05/03/2006 CO...... Suite 101. Ft Collins, CO 80528. Temecula Valley Advanced Imaging, 25395 Hancock Avenue, ZZZ—150752 05/03/2006 CA...... Suite 110. Murrieta, CA 92592. Saint Anthony Memorial Health Center, 301 West Homer A150015 05/03/2006 IN...... Street, Michigan City, IN 46360. Salina Regional Health Center, 400 S. Santa Fe Avenue, Sa- 170012 05/03/2006 KS ...... PO Box 5080. lina, KS 67401. Cancer Center of Kansas, 818 N. Emporia Street, Wichita, 110217 05/03/2006 KS...... Suite 100. KS 67214. Clinton Crossings Imaging, 995 Senator Keating Boulevard, 14439A 05/03/2006 NY...... Rochester, NY 14618. NSMS—Shelby County, 4253 Argosy Court, Madison, WI I16068 05/03/2006 WI...... 53714. Verrazano Radiology, PC, 256A Mason Avenue, Staten Is- 200011201 05/03/2006 NY...... land, NY 10305. Imaging Consultants, Inc.—Brockton Hospital, 680 Centre 327085 05/03/2006 MA...... Street, Brockton, MA 02301. Imaging Consultants, Inc.—Cape Cod, 252 Long Pond Drive, 327085 05/03/2006 MA...... Fontain Medical Harwich, MA 02645. Center. Imaging Consultants Inc—Falmouth, 100 Ter Hewn Drive, 327085 05/03/2006 MA...... Falmouth, MA 02540. Imaging Consultants, Inc.—Jordan, 275 Sandwich Street, 327085 05/03/2006 MA...... Plymouth, MA 02360. Imaging Consultants, Inc.—Holyoke, 575 Beech Street, Hol- 327085 05/03/2006 MA...... yoke, MA 01040. Imaging Consultants, Inc.—Mercy Medical, 271 Carew Street, 327085 05/03/2006 MA...... Springfield, MA 01089. Imaging Consultants, Inc.—Lawrence Memorial, 170 Gov- 327083 05/03/2006 MA...... ernors Avenue, Medford, MA 02155. Imaging Consultants, Inc.—Metro West, 115 Lincoln Street, 327083 05/03/2006 MA...... Framingham, MA 01701. Imaging Consultants, Inc.—Milford, 14 Prospect Street, Mil- 327085 05/03/2006 MA...... ford, MA 01757. Imaging Consultants, Inc.—Quincy, 114 Whitwell Street, 327083 05/03/2006 MA...... Quincy, MA 02196. Imaging Consultants, Inc.—Saints Memorial, 2 Hospital Drive, 327083 05/03/2006 MA...... Lowell, MA 01852. Imaging Consultants, Inc.—Truesdale, 1030 Presidents Ave- 327085 05/03/2006 MA...... nue, Fall River, MA 02720. Imaging Consultants, Inc.—Twin City, 76 Summer Street, N/A 05/03/2006 MA...... Fitenburg, MA 01420. Imaging Consultants, Inc.—Worcester, 20 Worcester Center 327085 05/03/2006 MA...... Boulevard, Worcester, MA 01608. Sentara Mobile PET/CT—Careplex, 5900 Lake Wright Drive, 250605 05/04/2006 VA...... Suite B, Norfolk, VA 23502. Sentara Mobile PET/CT—Lake Wright, 5900 Lake Wright 250605 05/04/2006 VA...... Drive, Suite B, Norfolk, VA 23502. Sentara Mobile PET/CT—Princess Anne, 5900 Lake Wright 250605 05/04/2006 VA...... Drive, Suite B, Norfolk, VA 23502. Sentara Mobile PET/CT—Williamsburg, 5900 Lake Wright 250605 05/04/2006 VA...... Drive, Suite B, Norfolk, VA 23502. Memorial Hospital of South Bend, 615 N. Michigan Street, 150058 05/04/2006 IN...... South Bend, IN 46601.

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Facility name Provider number Date approved State Other information

NSMS—Belleville, IL, 4253 Argosy Court, Madison, WI 53714 208196 05/04/2006 WI ...... NSMS—Flora, IL, 4253 Argosy Court, Madison, WI 53714 ..... 208196 05/04/2006 WI ...... NSMS—Breese, IL, 4253 Argosy Court, Madison, WI 53714 .. 208196 05/04/2006 WI ...... SSM DePaul Health Center, 12303 DePaul Drive, St Louis, 260104 05/04/2006 MO...... MO 63044. Lutheran Hospital, 7950 W. Jefferson Boulevard, Fort Wayne, 150017 05/11/2006 IN...... IN 46804. Memorial MRI and Diagnostic, 1346 Campbell Road, Hous- 00941U 05/11/2006 TX...... ton, TX 77055. Shields Imaging of Eastern Mass, 55 Fogg Road, Weymouth, 327088 05/11/2006 MA...... MA 2190. Baystate MRI and Imaging Center, 3300 Main Street, Spring- 327039 05/11/2006 MA...... field, MA 1107. Advanced Imaging Center, 16110 Jog Road, 200, Delray U2049 05/11/2006 FL...... Beach, FL 33446. UMASS Memorial MRI and Imaging Center, 214 Shrewsburg 327040 05/11/2006 MA...... Street, Worcester, MA 1604. RCOA Imaging Services, 1108 Minnequa Avenue, Pueblo, 475748 05/11/2006 CO...... CO 81004. Adventist Health PET/CT—Hanford, 450 N. Greenfield Ave- ZZZ318852 05/11/2006 CA...... nue, Hanford, CA 93230. Adventist Health PET/CT—Feather River, 5974 Pertz Road, ZZZ318852 05/11/2006 CA...... Paradise, CA 95969. Adventist Health PET/CT—Sonora, 1000 Greenley Road, So- ZZZ318852 05/11/2006 CA...... nora, CA 95370. Sarasota Memorial PET, 5350 University Parkway, Sarasota, U1775 05/11/2006 FL...... FL 34238. Adventist Health PET/CT—Redbud, 18th Ave. at Highway 53, ZZZ318852 05/11/2006 CA...... PO Box 6710, Clear Lake, CA 95422. Adventist Health PET/CT—St. Helena, 10 Woodland Road, ZZZ318852 05/11/2006 CA...... St. Helena, CA 94574. Adventist Health PET/CT—Ukiah, 275 Hospital Drive, Ukiah, ZZZ318852 05/11/2006 CA...... CA 95482. Mease Outpatient Imaging, 1840 Mease Drive, Safety Harbor, 100265 05/11/2006 FL...... FL 34685. Bardmoor Outpatient Center, 8787 Bryan Dairy Road, Largo, 00594C 05/11/2006 FL...... FL 33777. Trinity Outpatient Center, 2102 Trinity Oaks Boulevard, New 00594D 05/11/2006 FL...... Port Richey, FL 34655. Walnut Creek Imaging Center, 114 La Casa Via, #200, Wal- ZZZ13902Z 05/11/2006 CA...... nut Creek, CA 94598. Carlisle Imaging Center, 1240 S. Ft. Harrison, Clearwater, FL 594 05/11/2006 FL...... 33756. Valley Radiology Imaging at Samaritan, 2581 Samaritan ZZZ139851Z 05/11/2006 CA...... Drive, #100, San Jose, CA 95124. Forest Hills PET Imaging, 102–02 Queens Boulevard, Forest 06998G 05/11/2006 NY...... Hills, NY 11375. Roper LowCountry PET Imaging Center, 316 Calhoun Street, Q326280001 05/11/2006 SC...... Charleston, SC 29401. Premier PET Imaging of NJ, 119 Cherry Hill Road, Parsip- 68433 05/11/2006 NJ...... Suite 100. pany, NJ 07054. Methodist Medical Center of Illinois, 221 NE Glen Oak Ave- 370661223 05/11/2006 IL...... nue, Peoria, IL 61636. Medical Imaging of Baltimore, 6715 N. Charles Street, Balti- 258L 05/12/2006 MD...... more, MD 21204. Yagnesh Oza, MD, 4117 Velerous Memorial Drive, Mt 212702 05/12/2006 IL...... Vernon, IL 62864. Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 100271 05/12/2006 FL...... 33612. PrimeMed Imaging, 5 Morgan Highway, Suite 7, Scranton, 260 05/12/2006 PA...... Morgan Medical PA18505. Complex. Rockville PET Imaging, PC, 119 North Park Avenue, Rock- WTC601 05/12/2006 NY...... Suite 101. ville Centre, NY 11570. Porter Adventist Hospital, 2525 South Downing Street, Den- 60064 05/12/2006 CO...... ver, CO 80210. Rapid City Regional Hospital Medical Imaging Services, 353 43007 05/12/2006 SD...... Fairmont Boulevard, Rapid City, SD 57701. Advanced Radiology Consultants, 56 Quarry Road, Trumbull, C02747 05/12/2006 CT...... CT 06611. Northeastern PA Imaging Center, 2601 Stafford Avenue, 475385 05/12/2006 PA ...... PO Box 3305 Scranton, PA 18505–0305. Billings MRI Center, 1041 North 29th Street, Billings, MT 81030 05/12/2006 MT...... 59101–1075.

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Facility name Provider number Date approved State Other information

Aurora St. Luke’s Medical Center, 2900 W. Oklahoma Ave- 520138 05/12/2006 WI...... Nuclear Medicine nue, Milwaukee, WI 53215. Department. Memorial & St. Elizabeth’s Healthcare Services, LLC, 4000 N. 201339 05/12/2006 IL...... PET/CT Imaging Illinois Lane, Swansea, IL 62226. Center. Palm Beach Cancer Institute—West Palm Beach, 1309 North 34754 05/12/2006 FL...... Flagler Drive, West Palm Beach, FL 33401–2710. Overlook Hospital, 99 Beauvoir Avenue, Summit, NJ 07902 ... 8772966189 05/12/2006 NJ ...... Ashland Bellefonte Cancer Center, 122 Saint Christopher 2150 05/12/2006 KY...... Drive, Ashland, KY 41101. Bryn Mawr Imaging Center, 101 S. Bryn Mawr Avenue, Bryn 473120 05/12/2006 PA...... Mawr, PA 19010. Oncology Alliance, 1055 N. Mayfair Road, Suite 100, 32836000 05/12/2006 WI...... Wauwatosa, WI 53220. Shared PET Maimonides, 6300 Eighth Avenue, Brooklyn, NY 97Z661 05/12/2006 NY...... 11220. Hoboken Radiology, LLC, 79 Hudson Street, Suite 100, Ho- 80395 05/12/2006 NJ...... boken, NJ 07030. Akron City Hospital, 525 E. Main Street, Akron, OH 44309 .... 360020 05/12/2006 OH ...... Park Avenue Radiologists, PC, 525 E. Main Street, Rome, W21771 05/12/2006 NY...... GA 30165. Comprehensive Blood & Cancer Center, 6501 Truxtun Ave- zzz238732 05/12/2006 CA...... nue, Bakersfield, CA 93309. Rome Imaging Center, 309 West 10th Street, Rome, GA GRP1221 05/12/2006 GA...... 30165. Hawaii PET Imaging, 2230 Liliha Street, Honolulu, HI 96817 54537 05/12/2006 HI ...... Imaging Consultants, Inc. at Henry Heywood Hospital, 242 327085 05/12/2006 MA...... Green Street, Gardner, MA 01440. Imaging Consultants, Inc. at Nashoba Valley Medical Center, 327085 05/12/2006 MA...... 200 Groton School Road, Ayer, MA 01432. Rhode Island PET Services at Memorial Hospital, 111 Brew- 479003556 05/12/2006 RI...... ster Street, Pawtucket, RI 02860. Osceola Cancer Center, 737 W. Oak Street, Kissimmee, FL 1629034202 05/12/2006 FL...... 34741. Valley Radiologists, Ltd.—Paseo II Office, 5605 W. Eugie Av- 1902896236 06/13/2006 AZ...... enue, Suite 110, Glendale, AZ 85304. Southeast GYN, Oncology PET, 5210 Belfort Road, Suite 45542 06/13/2006 FL...... 130, Jacksonville, FL 32256. The Johns Hopkins PET Center, 600 N. Wolfe Street, Balti- 210009 06/13/2006 MD...... Nelson Basement. more, MD 21287. Maklansky, Grunter, Kurzban, Cohen, Zimmer, Hyman, 165 W20393 06/13/2006 NY...... East 84th Street, New York, NY 10028. Methodist Medical Center of Illinois, 112 Crescent Avenue, 370661223 06/13/2006 IL...... Peoria, IL 61636. Phoebe Putney Memorial Hospital, 417 Third Avenue, PO 110007 06/13/2006 GA...... Box 1828, Albany, GA 31702–1828. Eiber Radiology/PET Premier Imaging, 21 West 49th Street, k3166 06/13/2006 FL...... Hialeah, FL 33012. Botsford Hospital, 28050 Grand River Avenue, Farmington 230151 06/13/2006 MI...... Hills, MI 48336. Middletown Regional Hospital, 105 McKnight Drive, Middle- 360076 06/13/2006 OH...... town, OH 45044. Waukesha Memorial Hospital, 725 American Avenue, 390910727 06/13/2006 WI...... Waukesha, WI 53188. Battle Creek Health System, 300 North Avenue, Battle Creek, 230075 06/13/2006 MI...... MI 49016. Orlando Regional Medical Center, 1414 Kuhl Avenue, Or- 100006 06/13/2006 FL...... lando, FL 32806. NorthEast Medical Center, 1065 NorthEast Gateway Court, 340001 06/13/2006 NC...... NE., Concord, NC 28025. Premier Medical Imaging, 7651 Stagers Loop, Delaware, OH 9912921 06/13/2006 OH...... 43015. Advanced Radiology Consultants, 15 Corporate Drive, Trum- C02747 06/13/2006 CT...... bull, CT 06611. Advance PET Imaging, 23 Technology Drive, East Setauket, 46a401 06/13/2006 NY...... NY 11733. Premier PET Imaging of Wichita, 500 S. Main Street, Suite B, 110682 06/13/2006 KS...... Wichita, KS 67202. Health Center Northwest, 320 Sunnyview Lane, Kalispell, MT 270087 06/13/2006 MT...... 59901. Olympic Medical Center, 844 N. 5th Avenue, Sequim, WA 500072 06/13/2006 WA...... 98382. Premier PET Imaging of Jacksonville, 5210 Belfort Road, K3166 06/13/2006 FL...... Suite 130, Jacksonville, FL 32256.

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Facility name Provider number Date approved State Other information

PET/CT Imaging of San Jose, 2211 Moorpark Avenue, Suite ZZZ19866Z 06/13/2006 CA...... 220, San Jose, CA 95128. The Reading Hospital and Medical Center, 6th and Spruce 390044 06/13/2006 PA...... Streets, West Reading, PA 19611. Julia Rackley Perry Memorial Hospital, 530 Park Avenue 141337 06/13/2006 IL...... East, Princeton, IL 61356. Ashland Bellefonte Cancer Center, 122 Saint Christopher 2150 06/13/2006 KY...... Drive, Ashland, KY 41101. Tower Imaging BBD, 14231 Bruce B Down Boulevard, 169 06/13/2006 FL...... Tampa, FL 33613. VyMed Diagnostic Imaging Tampa, LLC, 10010 N. Dale U4068 06/13/2006 FL...... Mabry, Suite 160, Tampa, FL 33618. Texas Oncology Cancer Center Sugar Land, 1350 First Col- 00073F 06/13/2006 TX...... ony Boulevard, Sugar Land, TX 77479. Samaritan North Health Center, 9000 N. Main Street, Dayton, 360052 06/13/2006 OH...... OH 45415. The PET Center of Oxford, 1612 U.S. Highway 78 East, Suite 51554888 06/13/2006 AL...... 102, Oxford, AL 36203. Shared PET Mem Lighthouse, 6901 N. Main Street, Granger, 232800 06/13/2006 IN...... IN 46530. Shared PET Hope Cancer Center, 3702 South Fourth Street, 201320 06/13/2006 IN...... Terre Haute, IN 47802. Athens Regional Medical Center, 1199 Prince Avenue, Ath- 110074 06/13/2006 GA...... ens, GA 30606. Muskogee PET & Nuclear Imaging, 3300 Chandler Road, 400522529 06/13/2006 OK...... Suite #106, Muskogee, OK 74403. Lubbock Imaging Center, 4011 19th Street, Lubbock, TX 00027K 06/13/2006 TX...... 79410. Memorial Medical Center, 701 N. First Street, Springfield, IL 140148 06/13/2006 IL...... 62781. Hamamatsu/Queen’s PET Imaging Center, 1301 Punchbowl ...... 06/13/2006 HI ...... Street, Honolulu, HI 96813. Aurora BayCare Medical Center, 2845 Greenbrier Road, 520193 06/13/2006 WI...... Green Bay, WI 54308. Medical Center of Plano, 3901 W. 15th Street, Plano, TX 450651 06/13/2006 TX...... 75002. Carolinas Medical Center, 1000 Blythe Boulevard, Charlotte, 340113 06/13/2006 NC...... NC 28203. Redwood Regional Medical Group d.b.a. Santa Rosa Radi- 680344865 06/13/2006 CA...... ology, 121 Sotoyome Street, Santa Rosa, CA 95405. Boone Hospital Center, 1600 East Broadway, Columbia, MO 260068 06/13/2006 MO...... 65201. River Radiology, 45 Pine Grove Avenue, Kingston, NY 12401 W30681 06/13/2006 NY ...... University of Washington Medical Center, 1959 NE Pacific 142700 06/13/2006 WA...... Street, Seattle, WA 98195. Mid American Imaging—Salem, 1987 E. 4th Street, Salem, ID00804 06/13/2006 OH...... OH 44460. Piedmont Medical Center, 222 S. Herlong Avenue, Rock Hill, 420002 06/13/2006 SC...... SC 29732. Alliance Imaging—Sparks, 1311 South I Street, Fort Smith, 5F463 06/13/2006 AR...... AR 72817. Radiology Imaging Associates, 1825 SE Tiffany Avenue, 52 06/13/2006 FL...... Suite 104, Port St. Lucie, FL 34952. Mount Sinai Medical Center, One Gustave L. Levy Place, H23620 06/13/2006 NY...... New York, NY 10029. NSMS—Ottawa, IL, 4253 Argosy Court, Madison, WI 53714 .. 208196 06/13/2006 WI ...... Center for Diagnostic Imaging, 1550 E. Chestnut Avenue, 53290 06/13/2006 NJ ...... Bldg 4 Suite A. Vineland, NJ 08360. St. Mary Mercy Hospital—Livonia, 36475 Five Mile Road, 230002 06/13/2006 MI...... Livonia, MI 48154. Harold Leever Regional Cancer, 1075 Chase Parkway, Wa- 470000025 06/13/2006 CT...... terbury, CT 06708. Kentucky Metabolic Imaging, 2425 Regency Road, Suite B, 9366001 06/13/2006 KY...... Lexington, KY 40503. Western Baptist Hospital, 2501 Kentucky Avenue, Paducah, 180104 06/13/2006 KY...... KY 42001. St. Anthony Regional Hospital, 311 South Clark Street, Box 1720067127 06/13/2006 IA...... 628, Carroll, IA 51401. Alliance Imaging—Sequoia Hospital, 170 Alameda De Las ZZZ28890Z 06/13/2006 CA...... Pulgas, Redwood City, CA 94062. Craven Regional Medical Center, 2000 Neuse Boulevard, 340131 06/13/2006 NC...... New Bern, NC 28560. Alliance Imaging—Tri City Medical Center, 4002 Vista Way, TG281C 06/13/2006 CA...... Oceanside, CA 92056.

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Facility name Provider number Date approved State Other information

Alliance Imaging—Yavapai Del Webb Outpatient Center, 76103 06/13/2006 AZ...... 3262 Windsong Prescott Valley, AZ 86314. Drive. Saint Vincent’s Comprehensive Cancer Center, 325 West 330290 06/13/2006 NY...... 15th Street, New York, NY 10011. Alliance Imaging—Southwest Medical Imaging, 3104 Stockton 76103 06/13/2006 AZ...... Hill Road, Kingman, AR 86401. Alliance Imaging—North Idaho Imaging, 700 Ironwood Drive, 1790291 06/13/2006 ID...... Coeur d’Alene, ID 93814. Froedtert Hospital, 9200 W. Wisconsin Avenue, Milwaukee, 520177 06/13/2006 WI...... WI 53226. Alliance Imaging—Flagstaff Medical Center, 1200 N. Beaver 71855 06/13/2006 AZ...... Street, Flagstaff, AZ 86001. South Florida Oncology and Hematology Consultants, 4850 33873 06/13/2006 FL...... Suite A. W. Oakland Park Boulevard, Lauderdale Lakes, FL 33313. Alliance Imaging—Sierra Vista, 300 El Camino Real, Sierra 71855 06/13/2006 AZ...... Vista, AZ 85635. Alliance Imaging—St. Joseph Eureka, 2700 Dolbeer Street, zzz23046z 06/13/2006 CA...... Eureka, CA 95501. Alliance Imaging—Corvallis Clinic, 3680 NW Samaritan Drive, 132104 06/13/2006 OR...... Corvallis, OR 97330. Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 70010 06/13/2006 CT ...... Valley Radiologists, Ltd.—Paseo II Office, 5605 W. Eugie Av- 1902896236 06/13/2006 AZ...... Suite 110. enue, Glendale, AZ 85304. Central Texas Medical Center, 1301 Wonder World Drive, 450272 06/13/2006 TX...... San Marcos, TX 78666. Alliance Imaging—Verde Valley Medical Center, 269 S. 76103 06/13/2006 AZ...... Candy Lane, Cottonwood, AZ 86326. Alliance Imaging—Union Hospital Cecil, 106 Bow Street, FMN008 06/13/2006 MD...... Elkton, MD 21821. St. Joseph Mercy Hospital—Ann Arbor, 5301 E. Huron River 230156 06/13/2006 MI...... Road, Ann Arbor, MI 48106. Alliance Imaging—Navapache, 2200 E. Show Low Lake, 76103 06/13/2006 AZ...... Show Low, AZ 85901. St. Clare Medical Center, 1710 Lafayette Road, 150022 06/13/2006 IN...... Crawfordsville, IN 17933. Boynton Beach EFL Imaging Center, LLC, 2300 S. Congress 272376000 06/13/2006 FL...... #105. Avenue, Boynton Beach, FL 33426. Aurora Medical Center Oshkosh, 855 N. Westhaven Drive, 590198 06/13/2006 WI...... Oshkosh, WI 54904. Southeast GYN, Oncology PET, 5210 Belfort Road, Jackson- 45542 06/13/2006 FL...... Suite 130. ville, FL 32256. Stockton MRI & Molecular Imaging Medical Center, 2320 N. ZZZ290872 06/13/2006 CA. California Street, #2, Stockton, CA 95219. South Texas Cancer Center, 2150 N. Expressway 83, 14041756 06/13/2006 TX. Brownsville, TX 78521. Southwest Cancer Care Medical Group, 5395 Ruffin Road, W4957B 06/13/2006 CA...... #202. San Diego, CA 92123. Radiology Associates of Venice and Englewood, PA, 512– 99390 06/13/2006 FL. 516 S. Nokomis Avenue, Venice, FL 34285. Langlade Memorial Hospital Oncology, 112 E. 5th Avenue, 521350 06/13/2006 WI. Antigo, WI 54409. RCOA Imaging Services, 305 South 5th Street, Enid, OK 400522301 06/13/2006 OK. 73701. North Shore Hematology Oncology Associates, PC, 235 N. W04051 06/13/2006 NY. Belle Mead Road, East Setauket, NY 11733. Providence Holy Cross Imaging Center, 26357 McBean Park- TP129 06/13/2006 CA. way, Suite 155, Santa Clarita, CA 91355. Alaska Open Imaging Center, LLC, 6911 DeBarr Road, An- K153149 06/13/2006 AK. chorage, AK 99504. Temecula Valley Nuclear Medicine, 25485 Medical Center 00A417170 06/13/2006 CA...... Suite 102. Drive, Murrieta, CA 92562. Hematology Oncology Assoc. of the Treasure Coast, 1801 40806 06/13/2006 FL...... Suite B–107 SE Hillmoor Drive, Port Saint Lucie, FL 34952. (Mobile). The Center for Cancer and Blood Disorders, 800 W. Mag- 00L79L 06/13/2006 TX. nolia Avenue, Fort Worth, TX 76104. Alliance Imaging—South Coast Medical Center, 31872 Pacific TG281B 06/13/2006 CA. Coast Highway, Laguna Beach, CA 92651. The Medical Center at Bowling Green, 250 Park Street, Bowl- 180013 06/13/2006 KY...... PET/CT Center. ing Green, KY 42101. Johns Hopkins Bayview Medical Center, 4940 Eastern Ave- 210029 06/13/2006 MD...... Imaging nue, Baltimore, MD 21224. Department— Nuclear Medicine.

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Facility name Provider number Date approved State Other information

University of Michigan, Department of Radiology, 1500 E. 230046 06/13/2006 MI...... Box 0028, Medical Center Drive, Ann Arbor, MI 48109. B1H418 University Hospital. Carmichael Imaging, LLC, 4147 Carmichael Road, Mont- 51551742 06/13/2006 AL. gomery, AL 36106. Clearfield Hospital, 809 Turnpike Avenue, Clearfield, PA 390052 06/13/2006 PA. 16830. Clinical Pet of Hernando, 4003 Mariner Boulevard, Spring V2683 06/13/2006 FL. Hill, FL 34609. Booth Radiology, 105 Kings Way, W. Hurffville—Crosskeys 39460 06/13/2006 NJ. Road, Sewell, NJ 08080. Clinical PET of Zepherhills, 38044 Daughtery Road, E7179B 06/13/2006 FL. Zephyrhills, FL 33542. Radiology & Diagnostic Imaging, 2200 East Parrish Avenue, 3641 06/13/2006 KY...... Building D. Owensboro, KY 42303. Santa Monica Bay Physicians, 12524 W. Washington Boule- W14560 06/13/2006 CA. vard, Los Angeles, CA 90066. Missouri Baptist Medical Center, 3023 N. Ballas Road, St. 260108 06/13/2006 MO...... Suite 150, Louis, MO 63141. Building D. Radiology Associates of Tallahassee, PA, 1600 Phillips Road, 60 06/13/2006 FL. Tallahassee, FL 32308. Pacific Imaging—Oakland, 3200 Telegraph Avenue, Oakland, 1265480099 06/13/2006 CA. CA 94609. Medical Group of North County, 5395 Ruffin Road, #202, San W11609 06/13/2006 CA. Diego, CA 92123. Somerset Community Hospital, 225 South Center Avenue, 390039 06/13/2006 PA. Somerset, PA 15501. Elmbrook Memorial Hospital, 19333 W. North Avenue, Brook- 520170 06/13/2006 WI. field, WI 53045. San Luis Diagnostic Medical Associates, 1100 Monterey W14221 06/13/2006 CA...... Suite 210. Street, San Luis Obispo, CA 93401. Cancer Care Centers of S.Texas, PA (New Braunfels), 1448 00U40Q 06/13/2006 TX. Common Street, New Braunfels, TX 78130. Cancer Care Centers of S.Texas, PA (San Antonio), 8109 00U40Q 06/13/2006 TX. Fredericksburg Road, San Antonio, TX 78229. Cancer Care Centers of S.Texas, PA (Kerrville), 694 Hill 00U40Q 06/13/2006 TX. Country Drive, Kerrville, TX 78028. San Antonio Molecular Imaging SAMI, 9102 Floyd Curl Drive, FTN025 06/13/2006 TX...... Suite 193. San Antonio, TX 78240. Pacific Medical Imaging and Oncology Center, Inc., 707 W19267 06/13/2006 CA...... Suite B–001. South Garfield Avenue, Alhambra, CA 91801. Northern IL Cancer Treatment Center, 327 IL Route 2, Dixon, 210699 06/13/2006 IL. IL 61021. Cancer Care Center, 2210 Green Valley Road, New Albany, 243690 06/13/2006 IN...... Suite 1. IN 47150. Northeast Radiology, 3839 Danbury Road Brewster, NY 1134118607 06/13/2006 NY. 10509. New England PET Imaging System, 70 East Street, Methuen, M20762 06/13/2006 MA. MA 01844. Southeast Texas PET Imaging, 690 North 14th Street, Beau- 0004CC 06/13/2006 TX. mont, TX 77702. Sun City West PET Scan, 14418 W. Meeker Boulevard, Sun 102496 06/13/2006 AZ...... Suite 105. City West, AZ 85374. Butler Memorial Hospital, 911 East Brady Street, Butler, PA 390168 06/13/2006 PA. 16001. Diagnos, Inc., d.b.a. Diagnos PET/CT Imaging, 2000 North ftnx11 06/13/2006 TX...... Suite 100. Loop West, Houston, TX 77018. Alliance Imaging—Washington Hospital, 38950 Civic Center ZZZ28890Z 06/13/2006 CA. Drive, Fremont, CA 94538. Providence Saint Joseph Hospital, 201 S. Buena Vista Street, 50235 06/13/2006 CA...... #125. Burbank, CA 91505. Alliance Imaging—Centinela Freeman, 333 Prairie Avenue, TG281 06/13/2006 CA. Inglewood, CA 90301. Alliance Imaging—Corona Regional Hospital, 800 S. Main ZZZ23042Z 06/14/2006 CA...... Street, Corona, CA 91720. Alliance Imaging—St. Mary’s Regional Medical Center, 235 37860 06/14/2006 NV ...... 235 W. 6th Street. W. 6th Street, Reno, NV 89503. Alliance Imaging—Downey Regional Medical Center, 11500 TG490 06/14/2006 CA...... Brookshire Avenue,Downey, CA 90241. Alliance Imaging—Visalia Medical Clinic, 5400 W. Hillsdale ZZZ23046Z 06/14/2006 CA. Drive,Visalia, CA 93291. Alliance Imaging—Anaheim Memorial Medical Center, 1111 TD017C 06/14/2006 CA...... Anaheim Memorial W. La Palma Avenue,Anaheim, CA 92801. Medical Center.

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Facility name Provider number Date approved State Other information

Glendale Diagnostic Imaging Network Medical Office, 403 W19100 06/14/2006 CA. South Glendale Avenue,Glendale, CA 91205. Advanced Imaging at Baybrook, 11 Murray Street, Glens 33554a 06/14/2006 NY...... Falls, NY 12801. Elizabethtown Hematology—Oncology PLC, 1107 Woodland 3638 06/14/2006 KY...... Suite 105. Drive, Elizabethtown, KY 42701. Northern Arizona Radiology, 77 W. Forest Avenue, Suite 101, WCGJX 06/14/2006 AZ...... Flagstaff, AZ 86001. Suburban Imaging—Coon Rapids, 8990 Springbrook Drive, 3087 06/14/2006 MN...... Suite 140, Coon Rapids, MN 55433. Covenant Medical Center, 200 East Ridgeway Avenue, Wa- 421264647 06/14/2006 IA...... terloo, IA 50702. Mayo Clinic Rochester, 10 3rd Avenue, NW., Rochester, MN 1922074434 06/14/2006 MN...... Charlton Building. 55905. Thousand Oaks Diagnostic Imaging Center, 2180 Lynn Road, TP118 06/14/2006 CA...... Thousand Oaks, CA 91360. InnerVision Advanced Medical Imaging, 3801 Amelia Avenue, 167840 06/14/2006 IN...... Lafayette, IN 47905. UT—M. D. Anderson Cancer Center—PET Facility, 1220 450076 06/14/2006 TX ...... ACB 6th Floor. Holcombe Boulevard, Houston, TX 77030. Emory University Hospital, 1364 Clifton Road, NE., Atlanta, 110010 06/14/2006 GA ...... Rm. E121 Nuclear GA 30322. Medicine/PET. Glendale MRI Institute, 624 S. Central Avenue, Glendale, CA HW9951 06/14/2006 CA...... 91204. Princeton Radiology, 9 Centre Drive,Jamesburg, NJ 08831 .... 526492 06/14/2006 NJ ...... Caromont Imaging Services, 620 Summit Crossing Place, 340032 06/14/2006 NC...... Suite 106. Gastonia, NC 28054. North Central Imaging, 155 Sonterra Boulevard, Suite 100, 00867N 06/14/2006 TX...... San Antonio, TX 78258. Robert L. B. Tobin Diagnostic Imaging Center, 7979 00867N 06/14/2006 TX...... Wurzbach Drive, Suite U113, San Antonio, TX 78229. Edwards Comprehensive Cancer Center, 1400 Hal Greer 510055 06/14/2006 WV...... Boulevard, Huntington, WV 25701. Home Hospital GLHS, 2400 South Street, Lafayette, IN 150109 06/14/2006 IN...... 47904. St. Luke’s North PET, 153 Brodhead Road, Bethlehem, PA 390049 06/14/2006 PA...... 18017. Alamance Regional Medical Center, 1240 Huffman Mill Road, 340070 06/14/2006 NC ...... PO Box 202. Burlington, NC 27216–0202. Verrazano Radiology, 256 Mason Avenue, Staten Island, NY 1698 06/14/2006 NY...... 10305. Total Imaging Sun City, 3862 Sun City Center, Sun City Cen- U4840 06/14/2006 FL...... ter, FL 33571. Ortonville Area Health Services, 450 Eastvold Avenue, 241342 06/14/2006 MN...... Ortonville, MN 56278. Merle West Medical Center, 2865 Daggett Avenue, Klamath 380050 06/14/2006 OR...... Falls, OR 97601. Elite Imaging, LLC, 2845 Aventura Boulevard, Aventura, FL K3535 06/14/2006 FL...... Suite 145. 33180. St. Mary Centralia, 400 N. Pleasant Avenue, Centralia, IL 140034 06/14/2006 IL...... 62801. North Texas Regional Cancer Center, 3705 W. 15th Street, 00543K 06/14/2006 TX...... Plano, TX 75075. Centegra Health System, 4201 Medical Center Drive, 140116 06/14/2006 IL...... McHenry, IL 60050. Boston Diagnostic Imaging, 398 East Altamonte Drive, 77022 06/14/2006 FL...... Altamonte Springs, FL 32701. William W. Backus Hospital, 326 Washington Street, Norwich, 70024 06/14/2006 CT...... CT 06360. NSMS—Sparta, IL, 4253 Argosy Court, Madison, WI 53714 .. 208196 06/14/2006 WI ...... LaPorte Hospital & Healthcare Services, 1007 Lincolnway, 150006 06/14/2006 IN...... LaPorte, IN 46350. Skagit Valley Hospital, 1415 E. Kincaid Street, Mt.Vernon, 500003 06/14/2006 WA...... WA 98273. Alliance Imaging—Fairfield Hospital, 303 NW 11th Street, 213393 06/14/2006 IL...... Fairfield, IL 62837. Anderson Hospital, 6800 State Route 162, Maryville, IL 212761 06/14/2006 IL...... 62062. Alliance Imaging—Dean, 1313 Fish Hatchery Road, Madison, 92170 06/14/2006 WI...... WI 53715. Alliance Imaging—Research, 2316 E. Meyer Boulevard, Kan- 9004263A 06/14/2006 MO...... sas City, MO 64112. Alliance Imaging—St. Joseph, 1000 Carondelet Drive, Kan- 9004263A 06/14/2006 MO...... sas City, MO 64114.

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Facility name Provider number Date approved State Other information

Beebe Health Campus, d.b.a. Beebe Medical Center, 18941 80007 06/14/2006 DE...... John J. Williams Highway, Rehoboth, DE 19971. Medical Outsourcing Services, LLC, 1200 Maple Road, Joliet, 211223 06/14/2006 IL...... IL 60432. Silver Spring Radiology, 10801 Lockwood Drive, Silver FDX009 06/14/2006 MD...... Suite 170. Spring, MD 20901. New England PET of Greater Lowell, 295 Varnum Avenue, 327080 06/14/2006 MA...... Lowell, MA 01854. Stanford University, 900A Blake Wilbur Drive, Stanford, CA 50441 06/14/2006 CA...... 94305. Medical Outsourcing, Services, LLC, 3333 W. DeYoung 211224 06/14/2006 IL...... Street, Marion, IL 62959. Medical Outsourcing Services, LLC, 1700 Clinton Street, 230066 06/14/2006 MI...... Muskegon, MI 49443. Medical Outsourcing Services, LLC, 1001 Bellefontaine Ave- MEID02391 06/14/2006 OH...... nue, Lima, OH 45807. Golf Diagnostic Imaging Center, 9680 Golf Road, Des 378810 06/14/2006 IL...... Plaines, IL 60016. Medical Outsourcing Services, LLC, 2816 South Ellis Avenue, 211222 06/14/2006 IL. Chicago, IL 60616. Medical Outsourcing Services, LLC, 1100 E. Norris Drive, Ot- 211224 06/14/2006 IL...... tawa, IL 61350. Medical Outsourcing Services, LLC, 111 E. Spring Street, 211224 06/14/2006 IL...... Streator, IL 61364. Mansfield Imaging Center, 536 S. Trimble Road, Mansfield, MAD10921 06/14/2006 OH...... Suite A. OH 44906. Manhattan Diagnostic Radiology, 400 East 66th Street, New W23211 06/14/2006 NY...... York, NY 10021. Riverside Walter Reed Hospital, 7519 Hospital Drive, 490130 06/14/2006 VA...... Gloucester, VA 23061. Good Shepherd Hospital, 450 West Highway 22, Barrington, 140291 06/14/2006 IL...... IL 60010. Alliance Imaging—Presbyterian Intercomm Hospital, 12401 TG281A 06/14/2006 CA...... Presbyterian Washington Boulevard, Whittier, CA 90602. Intercommunity Hospital. Altru Hospital, 1200 S. Columbia Road, Grand Forks, ND 350019 06/14/2006 ND...... 58201. Mid American Imaging—Union Hospital, 659 Boulevard ID00805 06/14/2006 OH...... Street, Dover, OH 44622. Gundersen Clinic, 1900 South Avenue, Lacrosse, WI 54601 .. 34217 06/14/2006 WI ...... University of Minnesota Medical Center, Fairview 500 Har- C02390 06/14/2006 MN...... vard Street, SE., Box 292, Minneapolis, MN 55455. The Christ Hospital, 2139 Auburn Avenue, Cincinnati, OH 360163 06/14/2006 OH...... 45219. West Michigan Cancer Center, 200 N. Park Street, Kala- 0N66660 06/14/2006 MI...... mazoo, MI 49007. Cyrus Diagnostic Imaging, Inc., 165 Waymont Court, Lake 40586 06/14/2006 FL...... Mary, FL 32746. Cancer Centers of Florida, 1561 West Fairbanks Avenue, K1833 06/14/2006 FL...... Winter Park, FL 32789. Cedars—Sinai Medical Center, 8700 Beverly Boulevard, 951644600 06/14/2006 CA ...... S. Mark Taper Adler—Nail PET Center, Los Angeles, CA 90048. Foundation Imaging Center. Cancer Centers of Florida, 52 West Gore Street, Orlando, FL K1833 06/14/2006 FL...... 32806. Cancer Centers of Florida, 1111 Blackwood Avenue, Ocoee, K1833 06/14/2006 FL...... FL 34761. Mt. Clemens Regional Medical Center, 1000 Harrington 230227 06/14/2006 MI...... Street, Mt. Clemens, MI 48043. Truxtun Radiology Medical Group, LP, 1818 16th Street, Ba- ZZZ25213Z 06/14/2006 CA...... kersfield, CA 93301. Medical Outsourcing Services, LLC, 1515 North Madison Av- 223260 06/14/2006 IN...... enue, Anderson, IN 46011. Medical Outsourcing Services, LLC, 1215 Franciscan Drive, 211224 06/14/2006 IL...... Litchfield, IL 62056. Piedmont Medical Center, 1968 Peachtree Road, NW., At- 110083 06/14/2006 GA...... lanta, GA 30305. Medical Outsourcing Services, LLC, 1400 West Park Street, 211224 06/14/2006 IL...... Urbana, IL 61801. Central Indiana PET, LLC, 8301 Harcourt Road, Suite 100, 201930 06/14/2006 IN...... Indianapolis, IN 46260. Medical Outsourcing Services, LLC, 812 North Logan Ave- 211224 06/14/2006 IL...... nue, Danville, IL 61832.

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Facility name Provider number Date approved State Other information

Queens Medical Imaging, PC, 69–15 Austin Street, Forest 1023011285 06/14/2006 NY...... Hills, NY 11375. NYOH PET/CT Imaging , 43 New Scotland Avenue, Albany, 56917A 06/14/2006 NY...... NY 12208. Conroe Regional Medical Center, 504 Medical Center Boule- 450222 06/14/2006 TX...... vard, Conroe, TX 77304. Northeast Georgia Health System, Inc., Northeast Georgia 110029 06/14/2006 GA...... Medical Center, 743 Spring Street, Gainesville, GA 30501. Texas Oncology, PA—Mckinney, 4510 Medical Center Drive, 00543K 06/14/2006 TX...... #215. Mckinney, TX 75069. Medical Outsourcing Services, LLC, 7150 Clearwater Drive, 223260 06/14/2006 IN...... Indianapolis, IN 46256. Medical Outsourcing Services, LLC, 1402 East County Line 223260 06/14/2006 IN...... Road, Indianapolis, IN 46227. Texas Cancer Center—Sherman, 2800 Highway 75 North, 00543K 06/14/2006 TX...... Sherman, TX 75090. Medical Outsourcing Services, LLC, 120 Ralston Avenue, De- MEID02391 06/14/2006 OH. fiance, OH 43512. Medical Outsourcing Services, LLC, 2400 N. Rockton Ave- 211224 06/14/2006 IL...... nue, Rockford, IL 61103. Arlington Cancer Center, 906 W. Randol Mill Road, Arlington, 00LK20 06/14/2006 TX...... TX 76012. Jupiter Medical Center, 2055 Military Trail, Jupiter, FL 33458 100253 06/14/2006 FL ...... Cheyenne Radiology Group and MRI, PC, 2003 Bluegrass W309142 06/14/2006 WY. Circle, Cheyenne, WY 82009. Hunterdon Imaging, PA, 2100 Wescott Drive, MRI Suite, 714119 06/14/2006 NJ...... Flemington, NJ 08822. Medical Outsourcing Services, LLC, 200 Berteau Avenue, 211223 06/14/2006 IL...... Elmhurst, IL 60126. Magnolia Regional Center, 611 Alcorn Drive, Corinth, MS 250009 06/14/2006 MS...... 38834. Monroe Clinic, 515 22nd Avenue, Monroe, WI 53566 ...... 520028 06/14/2006 WI ...... Jupiter Hematology—Oncology Associates, 345 Jupiter Lakes 34922 06/14/2006 FL...... Suite 100. Boulevard, Jupiter, FL 33458. Southwest Regional Cancer Center, 901 West 38th Street, 0080BY 06/14/2006 TX...... Austin, TX 78705. Positron Imaging of Austin, 6101 Balcones Drive, Austin, TX 00538K 06/14/2006 TX...... 78731. Southern Ocean County Hospital, 1140 Route 72 West, 310113 06/14/2006 NJ...... Radiology. Manahawkin, NJ 08050. Medical Outsourcing Services, LLC, 9830 S. Ridgeland Road, 211222 06/14/2006 IL...... Chicago Ridge, IL 60145. Medical Outsourcing Services, LLC, 430 West Votaw Street, 223260 06/14/2006 IN...... Portland, IN 47374. Saint Agnes Medical Center, 1303 E. Herndon Avenue, Fres- 50093 06/14/2006 CA...... no, CA 93720. Central Physicians Imaging, 100 Southland Drive, Lexington, 9375001 06/14/2006 KY...... Suite B. KY 40503. NEA Medical Center, 3024 Stadium Boulevard, Jonesboro, 1386699353 06/14/2006 AR...... AR 72401. Northgate Medical Imaging, LLC, 807 Northgate Boulevard, 1205894235 06/14/2006 IN...... New Albany, IN 47150. Ball Memorial Hospital, 2401 University Avenue, Muncie, IN 150089 06/14/2006 IN...... 47303. The MRI Center, 5200 Harroun Road, Sylvania, OH 43560 .... 360074 06/14/2006 OH ...... Flower Hospital. St. Joseph Regional Health Center, 2801 Franciscan Drive, 450011 06/14/2006 TX...... Bryan, TX 77802. Steinberg Diagnostic (SDMI), 2850 Siena Heights, Hender- WCHCC 06/14/2006 NV...... son, NV 89052. Raritan Bay Medical Center, 1 Hospital Plaza, Old Bridge, NJ 310039 06/14/2006 NJ...... 08857. MRI Center—St. Anne Mercy Hospital, 3404 W. Sylvania Av- 360262 06/14/2006 OH...... enue, Toledo, OH 43623. MRI Center—St. Charles Mercy Hospital, 2600 Navarre Ave- 360081 06/14/2006 OH...... nue, Oregon, OH 43616. MRI Center—St. Luke’s Hospital, 2901 Monclova Road, 360090 06/14/2006 OH...... Maumee, OH 43537. MRI Center—St. Vincent Medical Center, 2213 Cherry Street, 360112 06/14/2006 OH...... Toledo, OH 43608. MRI Center—Toledo Hospital, 2142 N. Cove Boulevard, To- 360068 06/14/2006 OH...... ledo, OH 43606. McAlester Regional Health Center, One Clark Bass Boule- 370034 06/14/2006 OK...... vard, McAlester, OK 74501.

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Facility name Provider number Date approved State Other information

Express Imaging Center, Ltd., 1987 West Fourth Street, 9299151 06/14/2006 OH...... Suite A. Mansfield, OH 44906. Mercy Regional Medical Center, 375 East Park Avenue, Du- 60013 06/14/2006 CO...... rango, CO 81301. Texas Oncology—LongviewCancer Center PET, 1300 N. 00T35E 06/14/2006 TX...... Fourth Street, Longviews, TX 75601. UNC Hospitals, 101 Manning Drive, Chapel Hill, NC 27514 ... 3400610 06/14/2006 NC ...... PET Department. Basement W/C Hospital. DeKalb Medical Center—Diagnostic Imaging Center, 2701 110076 06/14/2006 GA...... North Decatur Road, Decatur, GA 30033. Long Island Pet Imaging, 6 Ohio Drive, Lake Success, NY W4921 06/14/2006 NY...... Suite 101. 11042. Vanderbilt University Medical Center, 1161 21st Avenue 3284867 06/14/2006 TN...... Building 1251 South, Nashville, TN 37232. RRB. Medical Outsourcing Services, LLC, 1800 E. Lakeshore 211224 06/14/2006 IL...... Drive, Decatur, IL 62521. New York PET and CTA Imaging Center, 7404 5th Avenue, 1083680003 06/14/2006 NY...... Brooklyn, NY 11209. Mercy Medical Center—North Iowa, 1000 4th Street, SW., 160064 06/14/2006 IA...... Mason City, IA 50401. Lawrence and Memorial Hospital, 365 Motauk Avenue, New 70007 06/14/2006 CT...... London, CT 06320. Superior Medical Diagnostics II, LLC, 235 Franklin Avenue, 68423 06/14/2006 NJ...... Nutley, NJ 07110. Oncology Specialists, S.C., 7900 N. Milwaukee Avenue, 587940 06/14/2006 IL...... Suite 16. Niles, IL 60714. Hahnemann University Hospital, Broad & Vine, MS300, Phila- 390290 06/14/2006 PA...... delphia, PA 19102. Shrewsbury Diagnostic Imaging, LLC, 1131 Broad Street, 24021 06/14/2006 NJ...... Suite 110. Shrewsbury, NJ 07702. Medical Outsourcing Services, LLC, 500 West Court Street, 211224 06/14/2006 IL...... Kankakee, IL 60901. Forsyth Medical Center, 3333 Silas Creek Parkway, Winston 3400014 06/14/2006 NC...... Salem, NC 27103. Medical Outsourcing Services, LLC, 500 John Deere Road, 211224 06/14/2006 IL...... Moline, IL 61265. Medical Outsourcing Services, LLC, 836 W. Wellington Ave- 211222 06/14/2006 IL...... nue, Chicago, IL 60657. Medical Outsourcing Services, LLC, 1600 West Walnut, Jack- 211224 06/14/2006 IL...... sonville, IL 62650. Medical Outsourcing Services, LLC, 1600 23rd Street, Bed- 223260 06/14/2006 IN...... ford, IN 47471. Medical Outsourcing Services, LLC, 1500 North Ritter Ave- 223260 06/14/2006 IN...... nue, Indianapolis, IN 46219. Medical Outsourcing Services, LLC, 1221 N. Highland, Au- 211223 06/14/2006 IL...... rora, IL 60506. Medical Outsourcing Services, LLC, 1000 Lincoln Health 211224 06/14/2006 IL...... Center Drive, Mattoon, IL 61938. Salinas Valley Memorial Healthcare System, 450 E. Romie 50334 06/14/2006 CA...... Lane, Salinas, CA 93901. Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 70010 06/14/2006 CT ...... MRIGP, Inc., d.b.a. Advanced Medical Imaging Diamond H., H8808 06/14/2006 CO...... 2490 W 26th Avenue, Suite 20A, Denver, CO 80211. RCHO PET Imaging, 5120 Belfort Boulevard, Suite 130, 40259 06/14/2006 FL...... Jacksonville, FL 32256. Presbyterian Hospital, 200 Hawthorne Lane, Charlotte, NC 560554230 06/14/2006 NC...... 28204. Eisenhower Imaging Center, 39000 Bob Hope Drive, Rancho ZZZ91572Z 06/14/2006 CA ...... Lower Level Lucy Mirage, CA 92210. Curci Cancer Center. Mississippi Baptist Medical Center, 501 Marshall Street, Jack- 250102 06/14/2006 MS...... son, MS 39202. Texas Oncology—South Texas Cancer Center, 2121 Pease 14041756 06/14/2006 TX...... Texas Oncology— Street, Suite 101, Harlingen, TX 78550. South Texas Cancer Center. Valley Radiologists, Ltd.—Paseo II Office, 5605 W. Eugie Av- WCFHS 06/14/2006 AZ...... enue, Suite 110, Glendale, AZ 85304. Good Samaritan Hospital, 400 15th Avenue, SE., Puyallup, 500079 06/14/2006 WA...... WA 98372. St. John’s Mercy Hospital, 851 5th Street, Washington, MO 260052 06/14/2006 MO...... 63090. Memorial Hermann The Woodlands OPID, 9200 Pinecroft 741152597 07/14/2006 TX...... Drive, Suite 100, The Woodlands, TX 77380.

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Facility name Provider number Date approved State Other information

St. Luke’s Hospital, 232 South Wood’s Mill Road, Chester- 260179 07/14/2006 MO...... field, MO 63017. Lake Vista Cancer Center, 2790 Lake Vista Drive, Lewisville, 00543K 07/14/2006 TX...... TX 75067. Palms Imaging Medical Group, Inc., 1901 Outlet Center W19564 07/14/2006 CA...... Drive, Oxnard, CA 93036. Houston Medical Imaging, LLC, 3310 Richmond Avenue, 00137K 07/14/2006 TX...... Houston, TX 77006. Alliance Imaging—West Anaheim Medical Center, 3033 W. TD017 07/14/2006 CA...... Orange Avenue, Anaheim, CA 92804. Winthrop PET Imaging Center, 222 Station Plaza North, Suite 330167 07/14/2006 NY...... 140, Mineola, NY 11501. Greenville Hospital System, University Medical Center, 701 420078 07/14/2006 SC...... Grove Road, Greenville, SC 29605. High Field Open MRI, 1895 Jefferson Road, Rices Landing, 7885 07/14/2006 PA...... PA 15357. PET/CT Center at St. Anthony’s POB, 1201 5th Avenue E5753 07/14/2006 FL...... Suite 100. North, St. Petersburg, FL 33705. Texas Oncology—Deke Slayton Cancer Center, 501 Medical 00t40e 07/14/2006 TX...... Center, Webster, TX 77598. Invision North Florida Outpatient Imaging Center, 6605 NW E4639 07/14/2006 FL...... 9th Boulevard, Gainesville, FL 32609. Memorial Hospital of Union County, 500 London Avenue, 360092 07/14/2006 OH...... Marysville, OH 43040. Texas Oncology/South Texas Cancer Center—McAllen, 1901 00N39J 07/14/2006 TX...... S. 2nd Street, McAllen, TX 78503. Baylor Medical Center at Irving, 1901 North MacArthur Boule- 450079 07/14/2006 TX...... vard, Irving, TX 75061. Providence Park Hospital, 47601 Grand River Avenue, Novi, 230019 07/14/2006 MI...... MI 48374. Texas Oncology—Abilene, 1957 Antilley Road, Abilene, TX 140414748 07/14/2006 TX...... 79606. St. Anthony Hospital, 1000 North Lee Street, Oklahoma City, 370037 07/14/2006 OK...... OK 73101. Rice Memorial Hospital, 301 Becker Avenue, SW., Willmar, 240088 07/14/2006 MN...... MN 56201. LDS Hospital Nuclear Medicine, 8th Avenue & C Street, Salt 460010 07/14/2006 UT...... Lake City, UT 84143. RMG First & Laurel Imaging Center, 2466 First Avenue, San W14057 07/14/2006 CA...... Diego, CA 92101. RMG Gardenview Imaging Center, 1200 Gardenview Road, W14057F 07/14/2006 CA...... Suite 110. Encinitas, CA 92024. Decatur County Memorial Hospital, 720 North Lincoln Street, 150062 07/14/2006 IN...... Greensburg, IN 47240. Midland Imaging Center, 5001 Andrews Highway, Midland, 00U75H 07/14/2006 TX...... TX 79703. Advanced Imaging, LLC, 3433 NW 56th C–10, Oklahoma 400522379 07/14/2006 OK...... City, OK 73112. University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 160058 07/14/2006 IA. Iowa City, IA 52242. AZ Oncology Associates PET/CT & CT Imaging Center, 2070 25291 07/14/2006 AZ...... Suite 110. W. Rudasill Road, Tucson, AZ 85704. Medical Diagnostic Imaging, 14 Raymond Avenue, Pough- EEN841 07/14/2006 NY...... keepsie, NY 12603. Shore Memorial Hospital, 10085 William F. Bernart Circle, 540560500 07/14/2006 VA...... Nassawadox, VA 23413. Deaconess Hospital, 600 Mary Street, Evansville, IN 47747 ... 150082 07/14/2006 IN ...... Great Neck Imaging, PC, 907 Northern Boulevard, Great 1487646311 07/14/2006 NY...... Neck, NY 11021. FMH Rose Hill, 1562 Opossumtown Pike, Frederick, MD KP72 07/14/2006 MD...... 21702. Oakwood Annapolis Hospital, 33155 Annapolis Road, Wayne, 230142 07/14/2006 MI...... MI 48184. The Regional Cancer Center, 2500 West 12th Street, Erie, 140052 07/14/2006 PA...... PA 16505. Meritcare Hospital, 801 North Broadway, Fargo, ND 58122 .... 350011 07/14/2006 ND ...... Community Hospitals and Wellness Centers, 433 W. High 360121 07/14/2006 OH...... Street, Bryan, OH 43506. Sacred Heart Hospital, 900 W. Clairemont Avenue, Eau 520013 07/14/2006 WI...... Claire, WI 54701. Via Radiology—Meridian Pavilion, 11011 Meridian Avenue, 8859612 07/14/2006 WA...... North #101, Seattle, WA 98133. Medical Outsourcing Services, LLC, 2200 Market Street, 223260 07/14/2006 IN...... Charlestown, IN 47111.

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Facility name Provider number Date approved State Other information

Allegheny General Hospital, 320 East North Avenue, Pitts- 60503 07/14/2006 PA...... Division of burgh, PA 15232. Nuclear Medicine. Texas Oncology—12th Avenue, 1001 W. 12th Avenue, Fort 00R66C 07/14/2006 TX...... Worth, TX 76104. Southwest Fort Worth Cancer Center, 6500 Harris Parkway, 00R66C 07/14/2006 TX...... Fort Worth, TX 76132. St. Rita’s Medical Center, 730 W. Market Street, Lima, OH 360066 07/14/2006 OH...... 45801. New Mexico Oncology Hematology Consultants, Ltd., 4901 850367056 07/14/2006 NM...... Lang Avenue, NE., Albuquerque, NM 87109. Emory Eastside Medical Center, 545 Old Norcross Road, 110192 07/14/2006 GA...... Suite 200. Lawrenceville, GA 30045. Riverside Regional Medical Center, 500 J. Clyde Morris Bou- 490052 07/14/2006 VA...... levard, Newport News, VA 23601. Connecticut Oncology & Hematology, 220 Kennedy Drive, C00633 07/14/2006 CT...... Torrington, CT 06790. Chilton Memorial Hospital, 97 West Parkway, Pompton 310017 07/14/2006 NJ...... Plains, NJ 07444. Riverside Diagnostic Center Williamsburg, 120 Kings Way, 490052 07/14/2006 VA...... Williamsburg, VA 23188. Lawrence County MRI & Diagnostic Imaging Center, 2526 68617 07/14/2006 PA...... Wilmington Road, New Castle, PA 16105. Joint Township District Memorial Hospital, 200 St. Clair 360032 07/14/2005 OH...... Street, Saint Mary’s, OH 45885. Radiation Therapy Regional Centers, 3680 Broadway, Fort 77215 07/14/2006 FL...... Myers, FL 33901. Graduate Hospital, 1800 Lombard Street, Philadelphia, PA 390285 07/14/2006 PA...... One Graduate 19146. Hospital. Columbia Diagnostic Center, 1111 Paulison Avenue, Clifton, 94729 07/14/2006 NJ...... NJ 07015. The Nebraska Medical Center, 4250 Dewey Avenue, Omaha, 280013 07/14/2006 NE...... NE 68113. Memorial Hermann Memorial City OPID, 925 Gessner Road, 741152597 07/14/2006 TX...... Houston, TX 77024. Clifton Springs Hospital and Clinic, 2 Coulter Road, Clifton 330265 07/14/2006 NY...... Springs, NY 14432. Monongalia General Hospital, 1200 J. D. Anderson Drive, 510024 07/14/2006 WV...... Monongalia Morgantown, WV 26505. General Hospital. Providence Portland Medical Center, 4805 NE Glisan Street, 380061 07/14/2006 OR...... Portland, OR 97213. Highfield Open MRI, Inc., 995 Green Tree Road, Pittsburgh, 7885 07/14/2006 PA...... PA 15220. Providence St. Vincent Medical Center, 9205 SW Barnes 380004 07/14/2006 OR...... Road, Portland, OR 97225. Conway Regional Imaging Center, 2120 Robinson Avenue, 40029 07/14/2006 AR...... Conway, AR 72034. Martin Memorial Medical Center, 300 Hospital Avenue, Stu- 100044 07/14/2006 FL...... art, FL 34994. Northwest Medical Foundation of Tillamook, 1000 Third 381317 07/14/2006 OR...... Tillamook County Street, Tillamook, OR 97141. General Hospital. O’Connor Hospital, 2105 Forest Avenue, San Jose, CA 50153 07/14/2006 CA...... 95128–1471. Midtown Imaging, LLC–Wellington, 440 N. State Road 7, E9133 07/14/2006 FL...... Wellington, FL 33411. Midtown Imaging, LLC–Jupiter, 345 Jupiter Lakes Boulevard, E9133 07/14/2006 FL...... Suite 100. Jupiter, FL 33458. MMI/Mid Coast Hospital, 51 U.S. Route 1, Scarborough, ME 327079 07/14/2006 ME...... Suite O. 04074. Molecular Imaging Institute, 5349 Commerce Boulevard, 192870 07/14/2006 IN...... Crown Point, IN 46307. RCOA Imaging Services, 11937 U.S. Highway 271, Tyler, TX FTN022 07/14/2006 TX...... 75708. MMI/Maine Medical Center, 51 U.S. Route 1, Scarborough, 327079 07/14/2006 ME...... Suite O. ME 04074. Radiology, Ltd., 4640 East Camp Lowell Drive, Tucson, AZ WCBBM 07/14/2006 AZ...... 85712. Intermed Oncology Associates, S.C., 6701 159th Street, 610860 07/14/2006 IL...... Tinley Park, IL 60477. Lakes Radiology, 450 Canisteo Street, Hornell, NY 14843 ..... 1710937727 07/14/2006 NY ...... Opelousas PET/CT Imaging Center, 3975 I–49 South Service 5DA11 07/14/2006 LA...... Road, Suite 100, Opelousas, LA 70570. Florida Cancer Institute—BRK, 7154 Medical Center Drive, 1427017326 08/07/2006 FL...... Spring Hill, FL 34608.

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Facility name Provider number Date approved State Other information

Capital Health System, 446 Belleview Avenue, Trenton, NJ 310044 08/07/2006 NJ...... 08618. Hudson Valley Diagnostic Imaging, PLLC, 575 Hudson Valley WBH241 08/07/2006 NY...... Avenue, New Windsor, NY 12553. St Joseph’s Hospital, 3200 Pleasant Valley Road, West 520063 08/07/2006 WI...... Bend, WI 53095. Atlantic Medical Imaging, 30 East Maryland Avenue, Somers 101024 08/07/2006 NJ...... Point, NJ 08244. Providence Imaging Center, 3340 Providence Drive, Anchor- 2085R0202X 08/07/2006 AK...... age, AK 99508. Rochester Radiology Associates, PC 1277 Portland Avenue, 199726 08/07/2006 NY...... Rochester, NY 14621. Melbourne Internal Medicine Associates, 1132 South Hickory 77167 08/07/2006 FL...... Street, Melbourne, FL 32901. Highline Imaging, LLC 275 SW 160th Street, Seattle, WA 8801784 08/07/2006 WA...... 98166. Tyler PET, 415 South Fleishel Avenue, Tyler, TX 75702 ...... 752131429 08/07/2006 TX ...... Lake City Medical Center, 340 NW Commerce Drive, Lake 100156 08/07/2006 FL...... City, FL 32055. Blount Memorial Hospital, 907 East Lamar Alexander Boule- 440011 08/07/2006 TN...... vard, Maryville, TN 37804. Texas Cancer Center Mesquite, 4700 North Galloway, Mes- R339 08/07/2006 TX...... quite, TX 75150. Rutland Regional Medical Center: Diagnostic Imaging, 160 470005 08/07/2006 VT...... Allen Street, Rutland, VT 05701. MDMED, Inc., 155 Calle Portal, Suite 700, Sierra Vista, AZ Z68496 08/07/2006 AZ...... 85635. Atlantic Medical Imaging Wall Township, 2399 North Highway 101024 08/07/2006 NJ...... Ramshorn 34, Manasquan, NJ 08736. Executive Centre Bldg B. Newport Imaging Center, 455 Old Newport Road, Suite 101, W10829 08/07/2006 CA...... Newport Beach, CA 92660. Cancer Care and Hematology Specialists(CCHSC), 8915 355030 08/07/2006 IL...... West Golf Road, Niles, IL 60714–05825. Hematology Oncology Associates of Illinois (HOAI), 715 West 218860 08/07/2006 IL...... North Avenue, Melrose Park, IL 60160. Princeton Community Hospital, 122 12th Street Ext, Prince- 510046 08/07/2006 WV ...... PO Box 1369. ton, WV 24740. TRICAT, LLC at Edison, 3830 Park Avenue, Edison, NJ 27193 08/07/2006 NJ...... Suite 102. 08820. Olathe Medical Center, 20333 W. 151st Street, Olathe, KS 170049 08/07/2006 KS...... 66061. St. Joseph Hospital, 1140 West La Veta Avenue, Orange, CA 50069 08/07/2006 CA ...... 2nd Floor Nuclear 92868. Medicine. Baptist Health Medical Center, 9601 I630, Exit 7, Little Rock, 40114 08/07/2006 AR...... AR 72205–7299. Florida Cancer Specialists, 3840 Broadway, Fort Myers, FL 1225064520 08/07/2006 FL...... 33901. Pacca PET Imaging, 5210 Belfort Road, Suite 130, Jackson- 37572 08/07/2006 FL...... ville, FL 32256. National PET Scan Palm Beach, LLC, 16110 Jog Road, Del- 1164452405 08/07/2006 FL...... Suite 200. ray Beach, FL 33484. Central Memphis Regional PET Imaging Center, LLC, 1388 1295719110 08/07/2006 TN...... Madison Avenue, Memphis, TN 38104. Johnston Memorial Hospital, 351 Court Street NE, Abingdon, 490053 08/07/2006 VA...... VA 24210. Lenox Hill Hospital, 100 East 77th Street, New York, NY 131624070 08/07/2006 NY...... 10021. Mercy Medical Center, 411 Laurel Street, Suite 2310, Des 160083 08/07/2006 IA...... Moines, IA 50314. New Orleans Regional PET Center, LLC, 3434 Prytania 1538143474 08/07/2006 LA...... Street, Suite 120, New Orleans, LA 70115. Indiana Regional Medical Center PET Imaging, 835 Hospital 390173 08/07/2006 PA ...... PO Box 788. Road, Indiana, PA 15701. Mid American—Defiance Clinic, 1400 E. Second Street, Defi- ID00809 08/07/2006 OH...... ance, OH 43512. Total Imaging Robertson, 737 West Brandon Boulevard, k7282 08/07/2006 FL...... Brandon, FL 33511. New Tampa Imaging Center, 14302 N. Bruce B. Downs Bou- k57209 08/07/2006 FL...... levard, Tampa, FL 33613. Summit Imaging, 12037 Cortez Boulevard, Brooksville, FL 40986 08/08/2006 FL...... 34613. University of NM Cancer Research & Treatment Center, 900 400521103 08/08/2006 NM...... Caminodey Salud, NE, Albuquerque, NM 87131.

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Facility name Provider number Date approved State Other information

Alliance Imaging—Los Alamitos Med Center, 3751 Katella TD017 08/08/2006 CA...... Avenue, Los Alamitos, CA 90720. NYU Clinical Cancer Center, Diagnostic Imaging, 160 E. 34th W1L361 08/08/2006 NY...... 2nd Floor. Street, New York, NY 10016. Margaret Mary Community Hospital, 321 Mitchell Avenue, 151329 08/08/2006 IN...... Batesville, IN 47006. Quantum PET—Apple Hill, 37 Monument Road, York, PA 40635 08/08/2006 PA...... 17403. Memorial Hospital, 1204 N. Mound Street, Nacogdoches, TX 450508 08/08/2006 TX...... 75961. BMH—DeSoto, 7601 Southcrest Parkway, Southaven, MS 250141 08/08/2006 MS...... 38671. Riverside Medical Center, 300 Bourbonnais Campus, Bour- 140186 08/08/2006 IL...... Riverside Medical bonnais, IL 60914. Center. UCSD Center for Molecular Imaging, 11388 Sorrento Valley TG302 08/08/2006 CA...... Road, Suite 100, San Diego, CA 92121. Imaging Partners at Valley, LLC, 400 South 43rd Street, AB38657 08/08/2006 WA...... Olympic Building. Renton, WA 98055. El Paso Cancer Treatment Center, 7848 Gateway East Bou- 00543K 08/08/2006 TX...... levard, El Paso, TX 79915. Desert Radiologists, 3930 S. Eastern Avenue, Las Vegas, NV VWCCBT 08/08/2006 NV...... 89119. Saint Joseph Hospital, 2900 North Lake Shore Drive, Chi- 140224 08/08/2006 IL...... cago, IL 60068. Midstate Medical Center, 435 Lewis Avenue, Meriden, CT 60646715 08/08/2006 VT...... 06451. Brookville Hospital, 100 Hospital Road, Brookville, PA 15825 391312 08/08/2006 PA ...... Suntree Diagnostic Center, 6300 N. Wickham Road, Suite 701 08/08/2006 FL...... 101, Melbourne, FL 32940. Virginia Mason Medical Center, 1100 Ninth Avenue, Seattle, 500005 08/08/2006 WA...... WA 98101. Van Wert County Hospital, 1250 South Washington Street, 360071 08/08/2006 OH...... Van Wert, OH 45891. Manhasset Diagnostic Imaging, PC, 1350 Northern Boule- W14841 08/08/2006 NY...... vard, 2nd Floor, Manhasset, NY 11030. Southern New Mexico Cancer Center, 150 Road Runner 752131429 08/08/2006 NM...... Parkway, Las Cruces, NM 88011. Davis Memorial Hospital, Gorman Avenue and Reed Street, 510030 08/08/2006 WV...... Gorman Avenue. Elkins, WV 26241. Advocate Good Samaritan Hospital, 3815 Highland Avenue, 140288 08/08/2006 IL...... Downers Grove, IL 60515. Benefis Healthcare, 1101 26th Street South, Great Falls, MT 270012 08/08/2006 MT...... 59405. Fort Walton Beach Medical Center, 1032 Mar Walt Drive, Fort 100223 08/08/2006 FL...... Walton Beach, FL 32547. Blessing Hospital, PO Box #7005, Quincy, IL 62305 ...... 140015 08/08/2006 IL ...... Alliance Imaging—Allen County Hospital, 101 South 1st 130656 08/08/2006 KS...... Street, Iola, KS 53808. Florida Cancer Institute—NPR, 8763 River Crossing Boule- 1427017326 08/08/2006 FL...... vard, New Port Richey, FL 34655. Kimball Medical Center, 600 River Avenue, Lakewood, NJ 315084 08/08/2006 NJ...... 08701. Radiology Imaging Associates at Heritage, 8926 Woodyard 521454775 08/08/2006 MD...... Suite 502. Road, Clinton, MD 20735. Immanuel Medical Center, 6901 North 72nd Street, Omaha, 280081 08/08/2006 NE...... NE 68122. North Fork Radiology, 1333 Roanoke Avenue, Riverhead, NY w11401 08/08/2006 NY...... 11901. South County PET Imaging, LLC, 10010 Kennerly Road, St. 93053 08/08/2006 MO...... Louis, MO 63128. Carolinas Hospital System, 805 Pamplico Highway, Florence, 621587267 08/08/2006 SC...... SC 29505. Radiology Associates of San Luis Obispo, 522 E. Plaza GR0009774 08/08/2006 CA...... Drive, Santa Maria, CA 93454. Florida Cancer Specialists—Port Charlotte, 22395 Edgewater 1225064520 08/08/2006 FL...... Drive, Port Charlotte, FL 33980. Florida Cancer Specialists—Venice, 901 South Tamiami Trail, 1225064520 08/08/2006 FL...... Venice, FL 34285. Florida Cancer Specialists—Bradenton, 6001 21st Avenue 1225064520 08/08/2006 FL...... West, Bradenton, FL 34209. Nebraska Methodist Hospital, 8303 Dodge Street, Omaha, 280040 08/08/2006 NE...... NE 68114. PET/CT Center of Richardson, 399 Melrose Drive, Richard- 1740207539 08/08/2006 TX...... Suite A. son, TX 75080.

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Facility name Provider number Date approved State Other information

Molecular Imaging at Sequoia Imaging Center, 4949 W. Cy- ZZZ27463Z 08/08/2006 CA...... press Avenue, Visalia, CA 93277. Central Jersey Radiologists, 2128 Kings Highway, Oakhurst, 527995 08/08/2006 NJ...... NJ 07755. Claxton—Hepburn Medical Center, 214 King Street, 330211 08/08/2006 NY...... Ogdensburg, NY 13669. Memorial Hermann Southeast, 11800 Astoria Boulevard, 741152597 08/08/2006 TX...... Houston, TX 77089. NSMS—Pine Bluff, AR, 4253 Argosy Court, Madison, WI 5f168 08/08/2006 WI...... 53714. Yuma Regional Medical Center, 2400 S. Avenue A, Yuma, 866007596 08/08/2006 AZ...... AZ 85364. Carle Clinic, 1702 S. Mattis Avenue, Champagne, IL 61820 ... 371188284 08/08/2006 IL ...... North Shore—LIJ Center for Advanced Medicine, 450 330106 08/08/2006 NY...... North Shore—LIJ Lakeville Road, Lake Success, NY 11042. Center for Advanced Medicine Diagnostic Imaging Center. McAlester Diagnostic Imaging, 10 South Third Street, 1760411540 08/08/2006 OK...... Suite 100. McAlester, OK 74501. California Imaging Institute, 1867 E. Fir Avenue, Fresno, CA ZZZ03565Z 08/08/2006 CA...... 93720. Bon Secours Memorial Regional Medical Center. 8260 Atlee 541744931 08/08/2006 VA...... Road, Mechanicsville, VA 23116. University of Maryland Medical Center, 22 S. Greene Street. 210002 08/08/2006 MD...... Division of Gudelksy 2nd Floor, Baltimore, MD 21201. Nuclear Medicine. Bixby Medical Center, 818 Riverside Avenue, Adrian, MI 230005 08/08/2006 MI...... 49221. Kern Radiology Medical Group, 2301 Bahamas Drive, Ba- 1720023997 08/08/2006 CA...... kersfield, CA 93309. Bon Secours St. Francis Medical Center, 13710 St. Francis 311716973 08/08/2006 VA...... Boulevard, Midlothian, VA 23114. MMI/Maine General Waterville, 51 U.S. Route 1, Scar- 327079 08/08/2006 ME...... Suite O. borough, ME 04074. Mount Adams Imaging Center, 3911 Castlevale Road, 8857843 08/08/2006 WA...... Yakimaw, WA 98902. Carilion Roanoke Memorial Hospital, 2001 Crystal Spring Av- 490024 08/08/2006 VA...... enue, Roanoke, VA 24014. Seton Medical Center, Nuclear Medicine Dept., 1900 Sullivan 50289 08/08/2006 CA...... Avenue, Daly City, CA 94015–2229. Arnett Imaging Center, 2403 Loy Drive, Lafayette, IN 47909 .. 224390 08/08/2006 IN ...... Advanced Diagnostic Imaging, PC, 1120 Professional Boule- 639970 08/08/2006 IN...... vard, Evansville, IN 47630. Queen of Peace Hospital, 301 Second Street, NE, New 241361 08/08/2006 MN...... Prague, MN 56071. Agnesian Health Care, 430 E. Division Street, Fond du Lac, 520088 08/08/2006 WI...... WI 54935. ACMH Hospital, One Nolte Drive, Kittanning, PA 16201 ...... 390163 08/08/2006 PA ...... Wilshire Oncology Medical Group, Inc., 1280 Corona Pointe zzz19568z 08/08/2006 CA...... Suite 112. Court, Corona, CA 92879. United Radiology—Laurel, 14201 Laurel Park Drive, Laurel, 2.01558E+11 08/08/2006 MD...... Suite 208. MD 20707. Bay Area Medical Center, 3100 Shore Drive, Marinette, WI 520113 08/08/2006 WI...... 54143. Penn State Milton S. Hershey Medical Center, 500 University 251854772 08/08/2006 PA...... HG380. Drive, Hershey, PA, 17033. Delta St. Joseph’s MRI, LLC, 1617 N. California Street, ZZZ19725Z 08/08/2006 CA ...... Suites 1A and 1B. Stockton, CA 95204. United Radiology: Bowie, 16701 Melford Boulevard, Bowie, 2.01558E+11 08/08/2006 MD...... MD 20715. United Radiology Gaithersburg, 702 Russell Avenue, Gai- 2.01558E+11 08/08/2006 MD...... thersburg, MD 20877. United Radiology Olney, 18120 Hillcrest Drive, Olney, MD 2.01558E+11 08/08/2006 MD...... Suite A. 20832. FCS/Axcess Diagnosis/Sarasota, 600 N. Cattleman Road, 1225064520 08/08/2006 FL...... Sarasota, FL 34232. NSMS—Greenville, IL, 4253 Argosy Court, Madison, WI 208196 08/08/2006 WI...... 53714. FCS/Axcess Diagnosis/Venice, 842 Sunset Lake Boulevard, 1225064520 08/08/2006 FL...... Suite #301. Venice, FL 34292. Leading Edge Radiation, 8715 5th Avenue, Brooklyn, NY WEM111 09/05/2006 NY...... 11209.

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Facility name Provider number Date approved State Other information

Rena Tarbet Cancer Center, 4201 Medical Center Drive, oow753 09/05/2006 TX...... Suite 180, McKinney, TX 75069. McLaughlin & Marte, M.D., LLP, 3850 Tampa Road, Suite 1003862079 09/05/2006 FL...... 202, Palm Harbor, FL 34684. BryanLGH Medical Center, 2300 South 16th Street, Lincoln, 280003 09/05/2006 NE...... NE 68502. Freehold MR Associates, 691 West Main Street, Freehold, NJ 405856 09/05/2006 NJ...... 07728. Franciscan Skemp Healthcare, 700 West Avenue South, La 520004 09/05/2006 WI...... Crosse, WI 54601. Teton Radiology, 2001 S. Woodruff, Suite 17, Idaho Falls, ID 1371462 09/05/2006 ID...... 83404. Fletcher Allen Health Care, Mobile Pad, 790 College Park- 1659309615 09/05/2006 VT...... 790 College way, Colchester, VT 05446. Parkway. University of Penn Imaging Center, 3600 Market Street, 3rd 764089 09/05/2006 PA...... Floor, Silverstein Philadelphia, PA 19104. Sitron—Hammel Radiology Group, 4277 Hempstead Turn- W14891 09/05/2006 NY...... pike, Suite 200, Bethpage, NY 11714. MRI of Saint Louis Obispo, 1064 Murray Avenue, San Luis 1881661361 09/05/2006 CA...... Obispo, CA 93405. Lahey Clinic, 41 Mall Road, Burlington, MA 01805 ...... 220171 09/05/2006 MA ...... St. Joseph Medical Center, 215 N. 12th Street, Reading, PA 390096 09/05/2006 PA...... 19603. Spartanburg Regional Medical Center, 101 E. Wood Street, 420007 09/05/2006 SC...... Spartanburg, SC 29303. Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, 520064 09/05/2006 WI...... WI 53201. FHN Memorial Hospital, 1045 W. Stephenson Street, Free- 140160 09/05/2006 IL...... port, IL 61032. Southwest Washington Medical Center, 400 NE Mother Jo- 500050 09/05/2006 WA...... seph Place, Vancouver, WA 98668. St. Lukes Center for Diagnostic Imaging, 6 McBride and Sons 47006 09/05/2006 MO...... Corporate Center Drive, Suite 101, Chesterfield, MO 63005. The Stamford Health System, Shelbourn Road & West Broad 70006 09/05/2006 CT...... Street, Stamford, CT 06904. Hagerstown Imaging, LLC, 1150 A Professional Court, Ha- 1518914936 09/05/2006 MD...... gerstown, MD 21741. GCM Suburban Imaging, 6420 Rockledge Drive, Suite 3100, 409623 09/05/2006 MD...... Bethesda, MD 20817. Alliance Imaging—No. Idaho Imaging, 2003 Lincoln Way, 1790291 09/05/2006 ID...... Coeur d’Alene, ID 83814. HPMA PET Center, 22710 Professional Drive, Suite 104, 0019BY 09/05/2006 TX...... Kingwood, TX 77339. Parma Community General Hospital, 7007 Powers Boulevard, 360041 09/05/2006 OH...... Parma, OH 44129. Pacific Shores Medical Group PET Imaging, 1043 Elm Street W13494 09/05/2006 CA...... #104, Long Beach, CA 90813. Clark Memorial Hospital, 1220 Missouri Avenue, Jefferson- 15009 09/05/2006 IN...... ville, IN 47130. Abilene Imaging Center, LLC, 750 North 18th Street, Abilene, FTA070 09/05/2006 TX...... TX 79601. DuBois Regional Medical Center, 100 Hospital Avenue, 390086 09/06/2006 PA...... DuBois, PA 15801. Meeker County Memorial Hospital, 612 South Sibley Avenue, 241366 09/06/2006 MN...... Litchfield, MN 55355. Memorial Health, 4700 Waters Avenue, Savannah, GA 31403 110036 09/06/2006 GA ...... St. Luke’s Regional Medical Center, Ltd., 190 E. Bannock 130006 09/06/2006 ID...... Street, Boise, ID 83712. Radiology Consultants Imaging Center, 400 Avenue K, SE, U3944 09/06/2006 FL...... Winter Haven, FL 33880. Patient Comprehensive Cancer Center, 4352 North Josey 0083BY 09/06/2006 TX...... Lane, Carrollton, TX 75010. The University of Tennessee Medical Center, 1924 Alcoa 440015 09/06/2006 TN...... Highway, Knoxville, TN 37920. Radiation Therapy Regional Centers—Naples, 800 Goodlette 77215 09/06/2006 FL...... Road, Suite 110 Naples, FL 34102. St. Mary’s Medical Center, 2900 First Avenue, Huntington, 510007 09/06/2006 WV...... WV 25702. McKinney Regional Cancer Center, 4601 Medical Center 00711W 09/06/2006 TX...... Drive, McKinney, TX 75069. WCA Hospital, PO Box 840, Jamestown, NY 14701 ...... 330239 09/06/2006 NY ...... 207 Foote Avenue. Grants Pass Imaging and Diagnostic Center, LLC, 1619 NW 1659307973 09/06/2006 OR...... Hawthorne, Suite 110, Grants Pass, OR 97526.

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Facility name Provider number Date approved State Other information

Baptist Memorial Hospital—Golden Triangle, 2520 5th Street 250100 09/06/2006 MS...... North, Columbus, MS 39705. Florida Medical Clinic, 13417 U.S. Highway 301, Dade City, 39715 09/06/2006 FL...... FL 33525. Saint Clare’s Hospital, 400 West Blackwell Street, Dover, NJ 310067 09/06/2006 NJ...... 07801. Radiation Medicine Associates, 2202 South 77 Sun Shine 00645N 09/06/2006 TX...... Strip, Suite E, Harlingen, TX 78550. The Radiology Clinic, LLC, 208 McFarland Circle North, Tus- 13089 09/06/2006 AL...... caloosa, AL 35406. Bay Area Hospital, 1775 Thompson Road, Coos Bay, OR 30090 09/06/2006 OR...... 97420. MMI/St. Mary’s Hospital, 51 U.S. Route 1, Scarborough, ME 327079 09/06/2006 ME...... Suite O. 04074. Gulf Coast Medical Diagnostic Center. 2024 State Avenue, 30930 09/06/2006 FL...... Panama City, FL 32405. Diagnostic Radiology Systems, Inc., 1010 Medical Center 9366001 09/06/2006 KY...... Drive, Powderly, KY 42366. Lewis Gale Medical Center, 1900 Electric Road, Salem, VA 490048 09/06/2006 VI...... 24153. Radiology Diagnostic Center, 1310 Las Tablas Road, Suite W7491 09/06/2006 CA...... 103, Templeton, CA 93465. Weslaco Nuclear Imaging Center, 913 S. Airport Drive, 1780796219 09/06/2006 TX...... Weslaco, TX 78596. Pioneer PET, LLC, 1930 E. Southern Avenue, Tempe, AZ 1265401996 12/05/2006 AZ...... 85282. Kearney Imaging Center, LLC, 3219 Central Avenue, Suite 98950 12/05/2006 NE...... 109, Kearney, NE 68847. Rose Medical Center, 4567 East 9th Avenue, Denver, CO 841321373 12/05/2006 CO...... 80220. UCSF Medical Center, 185 Berry Street, San Francisco, CA 50454 12/05/2006 CA ...... Lobby 7, Suite 94107. 180. Broward General Medical Center, 1500 S. Andrews Avenue, 100039 12/05/2006 FL...... Fort Lauderdale, FL 33316. St. Paul Radiology, PA/Midwest Radiology, 166 Fourth Street CO2661 12/05/2006 MN...... East, St. Paul, MN 55101. Queen of the Valley Hospital, 1000 Trancas Street, Napa, CA 941243669 12/05/2006 CA...... 94558. Dana—Farber Cancer Institute, 44 Binney Street, Boston, MA 220162 12/05/2006 MA...... 02115. Holmes Regional Medical Center, 1350 South Hickory Street, 100019 12/05/2006 FL...... Melbourne, FL 32901. Niagara County PET Center, Niagara Falls, NY 14302 ...... f27482 12/05/2006 NY ...... 621 Tenth Street Department of Radiology. Augusta Medical Center, 78 Medical Center Drive, 490018 12/05/2006 VA...... Fishersville, VA 22939. Nevada Cancer Center, 2851 North Tenaya Way, Las Vegas, VWQBHJ 12/05/2006 NV...... #100. NV 89128. Wellstar Kennestone Hospital Imaging Center, 340 110035 12/05/2006 GA...... Suite LL10. Kennestone Hospital Boulevard, Marietta, GA 30060. Ashtabula County Medical Center, 2412 Lake Avenue, Ash- 1285607416 12/05/2006 OH...... The Regional tabula, OH 44004. Cancer Center. Rowan Regional Medical Center, 514 Corporate Circle, Salis- 340015 12/05/2006 NC...... bury, NC 28147. The Pottsville Hospital and Warne Clinic, 420 South Jackson 390030 12/05/2006 PA...... Street,Pottsville, PA 17901. Georgetown Memorial Hospital, 606 Blackriver Road, 1982604021 12/05/2006 SC...... Georgetown, SC 29442. Medical Center of Arlington, 3301 Matlock Road, Arlington, 450675 12/05/2006 TX...... TX 76015. Valley View Regional Hospital, 430 N. Monte Vista, Ada, OK 370020 12/05/2006 OK...... 74820. Montgomery Medical Services, 644 Maysville Road, Suite 10, 9141 12/05/2006 KY...... Mount Sterling, KY 40353. Medical Outsourcing Services, LLC, 5409 N. Knoxville Ave- 211224 12/05/2006 IL...... nue, Peoria, IL 61614. Medical Outsourcing Services, LLC, 1300 N. Main Street, 223260 12/05/2006 IN...... Rushville, IN 46173. Mayo Clinic Arizona, 13400 E. Shea Boulevard, Scottsdale, WCTGB 12/05/2006 AZ...... AZ 85259. Door County Memorial Hospital, 323 S. 18th Avenue, Stur- 1093743874 12/05/2006 WI...... geon Bay, WI 54235.

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Facility name Provider number Date approved State Other information

Center for Diagnostic Imaging—Sartell, 166 19th Street S., C01307 12/05/2006 MN...... Suite 100. Sartell, MN 56377. South Texas Institute of Cancer, 1205 South 19th Street, 0065AZ 12/05/2006 TX...... Corpus Christi, TX 78405. Del Sol Medical Center, 10460 Vista Del Sol, El Paso, TX 450646 12/05/2006 TX...... 79925. University Hospital, 818 St. Sebastian Way, Augusta, GA 110028 12/05/2006 GA...... Suite 103. 30901. St. John Health System—Tulsa, OK, 1923 S. Utica Avenue, 370114 12/05/2006 OK...... Tulsa, OK 74104. Allen Memorial Hospital, 1825 Logan Avenue, Waterloo, IA 160110 12/05/2006 IA...... 50703. Craig General Hospital, 735 North Foreman Street, Vinita, OK 370065 12/05/2006 OK...... 74301. Vision Imaging of Kingston, 517 Pierce Street, Kingston, PA 86463 12/05/2006 PA...... 18704. Lake Hospital Mentor Campus, 9485 Mentor Avenue, Mentor, 360098 12/05/2006 OH ...... Attn: Suite A. OH 44060. Excela RCL PET CT Imaging, LLC, 200 Village Drive, 1144260415 12/05/2006 PA...... Greensburg, PA 15601. Kousay Al—Kourainy, MD, 5395 Ruffin Road, #202, San A39783 12/05/2006 CA...... Diego, CA 92123. Memorial Hermann Northwest Hospital, 1635 North Loop 450184 12/05/2006 TX...... West, Houston, TX 77008. Accu/Site PET/CT Imaging Center, 30 Harrison Street, John- DD1474 12/05/2006 NY...... Suite #102. son City, NY 13790. DDIS–Bond, 9 Bond Street, Brooklyn, NY 11201 ...... 687s41 12/05/2006 NY ...... West Valley Radiology Medical Group, 7301 Medical Center Hw5870A 12/05/2006 CA...... Suite 103. Drive, West Hills, CA 91307. Westside Diagnostic and Therapeutic Medical Center, LLC, TG472 12/05/2006 CA...... 12524 West Washington Boulevard, Los Angeles, CA 90066. DDIS–Still 1783 Stillwell Avenue, Brooklyn, NY 11223 ...... 687s41 12/05/2006 NY ...... Alpena Regional Medical Center, 1501 W, Chisholm Street, 386000029 12/05/2006 MI...... Alpena, MI 49707. Santa Monica Imaging Center, 1245 16th Street, Suite 105, 1881670248 12/05/2006 CA...... Santa Monica, CA 90404. Mercer County Community Hospital, 800 W. Main Street, 360058 12/05/2006 OH...... Coldwater, OH 45828. Johnson Memorial Hospital, 1125 W. Jefferson Street, Frank- 150001 12/05/2006 IN ...... PO Box 549. lin, IN, 46131–2675. St. Mary’s Health Center, 100 St. Mary’s Medical Plaza, Jef- 260011 12/05/2006 MO...... ferson City, MO 65101. Eastside PET Center, LLC, 46 Medical Park East Drive, Bir- 1619925070 12/05/2006 AL...... Suite 224. mingham, AL 35023. United Regional Health Care System, 1600 8th Street, Wich- 450010 12/05/2006 TX...... ita Falls, TX 76301. Denton Regional Medical Center, 3535 S. I–35, Denton, TX 450634 12/05/2006 TX...... 76210. Canton—Potsdam Hospital, 50 Leroy Street, Potsdam, NY 161012691 12/05/2006 NY...... 13676. St. John Macomb Hospital, 11800 E. 12 Mile Road, Warren, 230195 12/05/2006 MI...... MI 48093. Cleveland Regional Medical Center, 201 East Grover Street, 340021 12/05/2006 NC...... Shelby, NC 28150. Bluefield Regional Medical Center, 500 Cherry Street, Blue- 510071 12/05/2006 WV...... field, WV 24701. Charles Cole Memorial Hospital, 1001 East Second Street, 390246 12/05/2006 PA...... Coudersport, PA 16915. New Jersey State Open MRI, 155 State Street, Hackensack, 85238 12/06/2006 NJ...... NJ 07601. Westcoast Radiology, 501 S. Lincoln Ave., Clearwater, FL E4187 12/06/2006 FL...... 33756. The Iowa Clinic/PETCO, LLC, 1221 Pleasant Street, Des I5819 12/06/2006 IA...... Moines, IA 50309. Quantum PET—Holy Spirit Hospital, 890 Poplar Church 40635 12/06/2006 PA...... Road, Camp Hill, PA 17011. Coastal Bend PET Scan, Ltd., 1533 5th Street, Corpus Chris- FTN014 12/06/2006 TX...... ti, TX 78404. Pottstown Memorial Medical Center, 1600 E. High Street, 390123 12/06/2006 PA...... Pottstown, PA 19464. UTMB PET/CT Imaging Center, UTMB—Rebecca Sealy Hos- R518 12/06/2006 TX...... 301 University pital, Galveston, TX 77555–0793. Blvd.

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Facility name Provider number Date approved State Other information

Diagnostic Imaging Services, LLC, 11110 Medical Campus 1114982808 12/06/2006 MD...... Road, Suite 204, Hagerstown, MD 21742. North Memorial Medical Center, 3435 West Broadway, 1851344907 12/06/2006 MN...... Robbinsdale, MN 55422. Hays Medical Center, 2220 Canterbury Drive, Hays, KS 2473 12/06/2006 KS...... 67601. St. Patrick Hospital & Health Sciences Center, 500 West 1023032588 12/06/2006 MT...... Broadway, Missoula, MT 59802. Park Ridge Hospital, 100 Hospital Drive, Hendersonville, NC 340023 12/06/2006 NC...... 28792. Fostoria Community Hospital, 610 Plaza Drive, Fostoria, OH 361318 12/06/2006 OH...... 44830. UMDNJ—University Hospital, 30 Bergen Street, Newark, NJ 221775306 12/06/2006 NJ ...... ADMC 5 Room 07101. 575, P.O. Box 1709. Metabolic Imaging of Boca, 5458 Town Center Road, Suite E5434 12/06/2006 FL...... 103, Boca Raton, FL 33486. Olean Open MRI, 413 North 8th Street, Olean, NY 14760 ...... AA0996 12/06/2006 NY ...... Mercy Memorial Health Center, 1011 14th Avenue NW, Ard- 731500629 12/06/2006 OK...... more, OK 73401. Pontiac Osteopathic Hospital d.b.a. POH Medical Center, 385 230207 12/06/2006 MI...... N. Lapeer Road, Oxford, MI 48371. Texas Oncology Ft. Worth, 1450 8th Avenue, Fort Worth, TX 00R66C 12/06/2006 TX...... 76104. West Valley Imaging, 3025 S. Rainbow Boulevard, Las WQBDY 12/06/2006 NV...... Vegas, NV 89146. Springman Medical Plaza Imaging Center, PO Box 4650, 1912973108 12/06/2006 TX...... Brownsville, TX 78523. EMH Regional Health Care System, 630 East River Street, 360145 12/06/2006 OH...... Elyria, OH 44035. Denfeld Medical Center, 4702 Grand Avenue, Duluth, MN C06028 12/06/2006 MN...... 55807. Caldwell Memorial Hospital, 321 Mulberry Street, SW., 560554202 12/06/2006 NC...... Lenoir, NC 28645. Belleville, IL (Swansea), 4253 Argosy Court, Madison, WI 208196 12/06/2006 WI...... 53714. Comprehensive Cancer Centers of Nevada—NW Office, 7445 WCHCX 12/06/2006 NV...... Peak Drive, Las Vegas, NV 89128. Wheaton Franciscan Healthcare—St. Joseph, 5000 W. 520136 12/06/2006 WI...... Chambers Street, Milwaukee, WI 53210. United Hospital Center, Rt. 19 South, Clarksburg, WV 26302– 510006 12/06/2006 WV ...... #3 Hospital Plaza. 1680. Massena Memorial Hospital, 1 Hospital Drive, Massena, NY 330223 12/06/2006 NY...... 13662. Redlands Community Hospital, 350 Terracina Boulevard, ZZZ01782Z 12/06/2006 CA...... Redlands, CA 92373. The Valley Hospital, 1 Valley Health Plaza, Paramus, NJ 310012 12/06/2006 NJ...... 07652. Advanced Medical Imaging of Toms River, 1430 Hooper Ave- 447655 12/06/2006 NJ...... Suite 102. nue, Toms River, NJ 08753. McKenna Memorial Hospital, 598 N. Union Street, New 450059 12/06/2006 TX...... Braunfels, TX 78130. NSMS—Parkland Farmington, Mo, 4253 Argosy Court, Madi- 208196 12/06/2006 WI...... son, WI 53714. Alton Memorial Hospital, 1 Memorial Drive, Alton, IL 62002 ... 14002 12/06/2006 IL ...... Medical City Dallas Hospital, Diagnostic Imaging, Dallas, TX 20943901 12/06/2006 TX ...... 7777 Forest Lane. 75230. Mercy Medical Center, 301 St. Paul Place, Baltimore, MD 210008 12/06/2006 MD...... 21202. St. Joseph’s Medical Center, 503 N. 3rd Street, Brainerd, MN 240075 12/06/2006 MN...... 56401. Covenant Healthcare, 600 Irving Street, Saginaw, MI 48602 .. 1457354318 12/06/2006 MI ...... Little Company of Mary Hospital, 2800 West 95th Street, Ev- 140179 12/06/2006 IL...... ergreen Park, IL 60805. Marion General Hospital Progressive Medical Imagine, 830 N. 1457354318 12/06/2006 IN...... Theatre Drive, Marion, IN 46952. Escondido Pulmonary Medical Group, 5395 Ruffin Road, W301 12/06/2006 CA...... Suite 202, San Diego, CA 92123. Marshall Medical Center, 1100 Marshall Way, Placerville, CA 50254 12/06/2006 CA...... 95667. Clermont Radiology, 1804 Oakley Seaver Drive, Clermont, FL U5066 12/06/2006 FL...... Suite B. 34711. Mahoning Valley Imaging, Ltd., 7067 Tiffany Boulevard, 1457354318 12/06/2006 OH...... Youngstown, OH 44514.

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Facility name Provider number Date approved State Other information

Southeastern Ohio Regional Medical Center, 1341 Clark Ave- 1457354318 12/06/2006 OH...... nue, Cambridge, OH 43725. White County Medical Center, 3214 E. Race Avenue, Searcy, 40014 12/06/2006 AR...... AR 72143. MED Arts JVIC, 9101 Franklin Square Drive, Baltimore, MD 1932167178 12/06/2006 MD...... 21237. Memorial Hermann Southwest OPID, 7797 SW Freeway, 741152597 12/06/2006 TX...... Houston, TX 77074. Twin County Regional Hospital, 200 Hospital Drive, Galax, 1174524094 12/06/2006 VA...... VA 24333. Marion Ancillary Services, LLC, 1040 Delaware Avenue, Mar- 991 12/06/2006 OH...... ion, OH 43302. Owensboro Medical Health Systems, Breckenridge 180038 12/06/2006 KY...... 1020 Diagnostics, Owensboro, KY 42301. Breckenridge Street NSMS—Darlington, WI, 209 Limestone Pass, Cottage Grove, 92420 12/06/2006 WI...... WI 53527. Santa Fe Imaging, LLC, 1640 Hospital Drive, Santa Fe, NM 400521037 12/06/2006 NM...... 87505. Suncoast Imaging of Port Orange, 1680 Dunlawton Avenue, 40370B 12/06/2006 FL...... Port Orange, FL 32127. Great Basin Imaging, 2874 N Carson Street, 3rd Floor, Car- WJBDK 12/06/2006 NV...... son City, NV 89706. St. Francis Hospital & Health Centers, 1201 Hadley Road, 1457354318 12/06/2006 IN...... Mooresville, IN 46158. Las Colinas Cancer Center, 7415 Las Colinas Boulevard, Ir- 00J062 12/06/2006 TX...... ving, TX 75063. ADI, 4006 Jonathan Street, Waterloo, IA 50701 ...... I15454 12/06/2006 IA ...... St Francis Hospital & Health Centers, South 8111 S. Emer- 1457354318 12/06/2006 IN...... son Avenue, Indianapolis, IN 46237. Central Baptist Diagnostic Center, 100 Southland Drive, Lex- 9375001 06/14/2006 KY...... Suite B. ington, KY 40503. Baptist Health Medical Center–NLR PET/CT, 3500 Springhill 5F437 05/03/2007 AR...... Suite 100. Drive, North Little Rock, AR 72117. Commonwealth Hematology Oncology, 216 Southtown Drive, 1285687178 03/21/2007 KY...... Danville, KY 40422. Commonwealth Hematology Oncology, 95 Bogle Office Park 1285687178 03/21/2007 KY...... Drive, Somerset, KY 42503. UMPC and The Washington Hospital Cancer Center, 155 Wil- 105589VXB 03/10/2006 PA...... son Avenue Washington, PA 15301. Lexington Diagnostic Center, 1725 Harrodsburg Road, Suite 0406 03/08/2006 KY...... 100, Lexington, KY 40504. UW PET Imaging Center, 8007 Excelsior Drive, Madison, WI 1346266319 04/03/2007 WI...... 53717. Fort Wayne Medical Oncology and Hematology, 7910 W. Jef- 055770 04/23/2007 IN...... ferson Boulevard, Suite 107, Ft. Wayne, IN 46804. Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 ... 070033 04/23/2007 CT ...... Reno Diagnostic Centers, 590 Eureka Avenue,Reno, NV 1518904994 04/24/2007 NV...... 89512. The Kirklin Clinic PET—CT Facility, 2000 6th Ave 10933768723 05/07/2007 AL...... South,Birmingham, AL 35233. PET Imaging Radiology, PSC Paseo San Pablo 0085142 05/15/2007 PR ...... EDIF Dr. Arturo 100,Bayamon, PR. Cadilla,Suite 208. Punxsutawney Area Hospital, 81 Hillcrest 390199 05/15/2007 PA...... Drive,Punxsutawney, PA 15767. Princeton Baptist Medical Center, 701 Princeton Avenue, 35211 05/30/2007 AL...... SW.,Birmingham, AL 35211. Medical Arts Radiology Commack, 55 Veterans Memorial W11682 05/31/2007 NY...... Highway,Commack, NY 11725. Carrol, Sheth & Raghavan, MD, 1460 Bluegrass Ave- 5460 06/05/2007 KY...... nue,Louisville, KY 40215. Personal Care Molecular Imaging, 1514 Highway 138,Wall, 109631 06/06/2007 NJ...... NJ 07719. Lincoln Radiology Imaging, 7121 Stephanie Lane,Lincoln, NE 099920 06/06/2007 NE...... 68516. Medcenter One, 300 North 7th Street,Bismark, ND 58506– 1538245634 07/24/2007 ND...... 5525. Wheaton Franciscan Healthcare—All Saints, 3801 Spring 520096 08/08/2007 WI...... N/A Street,Racine, WI 53405. Diagnostic Centers of America, 6080 Boynton Boule- E4439 08/22/2007 FL...... N/A vard,Suite 140,Boynton Beach, FL 33437. Center for Integrative Cancer Medicine, P.A., 1733 Curie 00315U 08/22/2007 TX...... N/A Drive,Suite 305,El Paso, TX 79902.

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Facility name Provider number Date approved State Other information

St. Luke’s Hospital, 1026 A Avenue, NE.,Cedar Rapids, IA 160045 08/22/2007 IA...... N/A 52406–3026. Shared PET Imaging, LLC—Cincinnati OH,Eden Avenue & ID01511 08/22/2007 OH...... N/A Albert Sabin Way,Cincinnati, OH 45219. Integrated Magnetic Imaging, 7100 University 7811 08/22/2007 AL...... N/A Court,Montgomery, AL 36117. Northwest PET Imaging, 265 N. Broadway Street,Portland, 105512 08/22/2007 OR...... N/A OR 97227. Center for Diagnostic Imaging—St. Louis Park, 5775 Wayzata C01307 08/22/2007 MN...... N/A Boulevard, #190,St. Louis Park, MN 55416. Ponca City Medical Center, 1900 North 14th Street,Ponca 370006 08/22/2007 OK...... N/A City, OK 74601. Sanford Health, 1305 W. 18th Street,Sioux Falls, SD 57117 .. 430027 08/22/2007 SD ...... N/A Central Valley PET Imaging, 4744 Quail Lake Drive,Stockton, 00A484230 08/22/2007 CA...... N/A CA 95207. PET/CT Imaging Center, 4000 N. Illinois Lane,Swansea, IL 201339 08/22/2007 IL...... PET/CT Imaging 62226. Center. Memorial Medical Center, 1105 W. Frank Avenue,Suite 450211 08/22/2007 TX...... d.b.a. Temple 100,Lufkin, TX 75901. Imaging Center. Rockingham Memorial Hospital, 235 Cantrell 490004 08/22/2007 VA...... N/A Ave,Harrisonburg, VA 22801. Regions Imaging Center, 401 Phalen Boulevard, 41101C,St. 240106 08/22/2007 MN...... N/A Paul, MN 55101. Florida Hospital Imaging, LLC, 335 Clyde Morris Boule- 1104876358 08/22/2007 FL...... N/A vard,Suite 250,Ormond Beach, FL 32174. Hutchinson Clinic, PA, 2101 North Waldron 1043298474 08/22/2007 KS...... N/A Street,Hutchinson, KS 67502. Parkwest Imaging, 3676 Parker Boulevard,Pueblo, CO 81008 455838 08/22/2007 CO ...... N/A St. Clair Hospital/UPMC Cancer Center, PET/CT, 1000 1699708792 08/22/2007 PA...... N/A Bower Hill Road,Pittsburgh, PA 15243. St. Joseph Mercy Oakland, (SJMO),44405 Woodward Ave- 1457354318 08/22/2007 MI...... N/A nue,Pontiac, MI 48341. Edward Hospital, 801 S. Washington Street,Naperville, IL 140231 08/22/2007 IL...... N/A 60540. East Montgomery Imaging Center, 6880 Winton Blount Boule- 58866 08/22/2007 AL...... N/A vard,Montgomery, AL 36117. Memorial Hospital of Martinsville and Henry County, 320 Hos- 490079 08/22/2007 VA...... N/A pital Drive,Martinsville, VA 24112. Thomas Hospital, 750 Morphy Avenue,Fairhope, AL 36532 ... 10100 08/22/2007 AL ...... N/A Portland Adventist Medical Center, 10123 SE Market 380060 08/22/2007 OR...... N/A Street,Portland, OR 97216. Nash Healthcare System, Inc.,2460 Curtis Ellis Drive,Rocky 340147 08/22/2007 NC...... N/A Mount, NC 27804. North Broward Medical Center, 201 E. Sample 100068 08/22/2007 FL...... Radiology Road,Deerfield Beach, FL 33064. Jennie Stuart Medical Center, 320 West 18th 180051 08/22/2007 KY...... N/A Street,Hopkinsville, KY 42240. Greater Houston Imaging, L.P.,6565 West Loop South,Suite FTNPX1 08/22/2007 TX...... N/A 100,Bellaire, TX 77401. Sunrise Hospital Medical Center, 3186 South Maryland Park- 290003 08/22/2007 NV...... N/A way, Las Vegas, NV 89109. The Diagnostic and Treatment Center, 3401 Cranberry Boule- 92450 08/22/2007 WI...... N/A vard, Weston, WI 54476. Ochsner Medical Center, 1514 Jefferson Highway, New Orle- 720502505 08/22/2007 LA...... N/A ans, LA 70121. Inland Empire Medical Imaging, 225 W. Hospitality Lane, zzz316682 08/22/2007 CA...... N/A Suite #100, San Bernardino, CA 92408. Independent Nuclear PET Imaging, 1115 N. Parrott Avenue, 1922070796 08/22/2007 FL...... N/A Okeechobee, FL 34972. Hugh Chatham Memorial Hospital, 180 Parkwood Drive, 340097 08/22/2007 NC...... N/A Elkin, NC 28621. Marian Medical Center/Plaza Diagnostic Imaging, 525 E. 50107 08/22/2007 CA...... N/A Plaza Drive Santa Maria, CA 93454. DDIS–FH, 8002 Kew Gardens Road, Kew Gardens, NY 687s41 08/22/2007 NY...... N/A 11415. NYPH—Weill Cornell, 525 E 68th Street, New York, NY 131623978 08/22/2007 NY...... N/A 10021. Genesys Regional Medical Center, One Genesys Parkway, 230197 08/22/2007 MI...... N/A Grand Blanc, MI 48439–8066. Geisinger Medical Center, 100 North Academy Avenue, 390006 08/22/2007 PA...... N/A Danville, PA 17822. Citrus Diagnostic Center, 922 N Citrus Avenue, Crystal River, K5374 08/22/2007 FL...... N/A FL 34428.

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Facility name Provider number Date approved State Other information

Middlesex Hospital, 534 Saybrook Road, Middletown, CT 70020 08/22/2007 CT...... N/A 6457. Geisinger Wyoming Valley Medical Center, 1000 East Moun- 390270 08/22/2007 PA...... N/A tain Drive, Wilkes—Barre, PA 18711. Canton, IL—Northern Shared Medical Services, 209 Lime- 208196 08/22/2007 WI...... N/A stone Pass, Cottage Grove, WI 53527. Self Regional Healthcare, 102 Academy Street, Greenwood, 420071 08/22/2007 SC...... N/A SC 29646. Bristol Hospital, Brewster Road, Bristol, CT 06011 ...... 70029 08/22/2007 CT ...... P.O. Box 977. East Texas Hematology & Oncology Clinic, PA, 1202 West 00T37K 08/22/2007 TX...... N/A Frank Avenue, Lufkin, TX 75904. St. John River District Hospital, 4100 River Road, East China, 230241 08/22/2007 MI...... N/A MI 48054. Morgan Hospital, 2209 John R Wooden Drive, Martinsville, IN 150038 08/22/2007 IN...... N/A 46151. Cotton—O’Neil Cancer Center, 1414 SW 8th Street, Topeka, 1811944457 08/22/2007 KS...... N/A KS 66606. Barnes—Jewish West County Hospital, 12634 Olive Boule- 260162 08/22/2007 MO...... N/A vard, St Louis, MO 63141. Hardin Memorial Hospital, 913 North Dixie Avenue, Elizabeth- 180012 08/22/2007 KY...... N/A town, KY 42701. Cancer Institute of Florida, LLC 894 E. Altamonte Drive, 72793 08/22/2007 FL...... N/A Altamonte Springs, FL 32701. Community Hospital, New Port Richey, 5637 Marine Park- 100191 08/22/2007 FL...... N/A way, New Port Richey, FL 34652. Pulaski Community Hospital, 2400 Lee Highway, Pulaski, VA 490116 08/22/2007 VA...... N/A 24301. Advocate South Suburban Hospital, 17800 S. Kedzie Avenue, 3.62169E+11 08/22/2007 IL...... N/A Hazel Crest, IL 60429. St. Vincent’s Medical Center, 2800 Main Street, Bridgeport, 70028 08/22/2007 CT...... N/A CT 6606. Cayuga Medical Center at Ithaca, 3218 Wilkins Road, Ithaca, 330307 08/22/2007 NY...... N/A NY 14850. Immanuel—ST Josephs Mayo Health Stystem, 1025 Marsh 240093 08/22/2007 MN ...... PO Box 8673. Street, Mankato MN 56002–8673. Kell West Regional Hospital, 5420 Kell West Boulevard, 450827 08/22/2007 TX...... N/A Wichita Falls, TX 76310. Aurora Medical Center Kenosha, 10400 75th Street, Keno- 520189 08/22/2007 WI...... N/A sha, WI 53142. Aurora Lakeland Medical Center, W3985 County Rd Nn, Elk- 520102 08/22/2007 WI...... N/A horn, WI 53121. Munson Medical Center, 1105 Sixth Street, Traverse City, MI 230097 08/22/2007 MI...... N/A 49684. Kansas City Cancer Center—North, 8700 Greenhills Road, 5650000E 08/22/2007 MO...... N/A Kansas City, MO 64154. PET Imaging Center of Maine, 885 Union Street, Suite 115, 10211501 08/22/2007 ME...... N/A Bangor, ME 04401. SMS—Chester, IL, 1900 State Street, Chester, IL 62233 ...... 208196 08/22/2007 IL ...... N/A PET of Reston, LP, 1800 Town Center Drive Suite 115, Res- G01960P03 08/22/2007 VA...... N/A ton, VA 20190. Healthcare Imaging Center, 4334 Central Ave, Riverside, CA ZZZ14451Z 08/22/2007 CA...... N/A 92506. Robert Wood Johnson University Hospital at Hamilton, 1 310110 08/22/2007 NJ...... N/A Hamilton Health Place, Hamilton, NJ 08690. Northside Hospital, 1000 Johnson Ferry Road, Atlanta, GA 110161 08/22/2007 GA...... N/A 30342. Aurora Medical Center Kenosha, 10400 75th Street, Keno- 520189 08/22/2007 WI...... N/A sha, WI 53142. Partners Imaging Center of Sarasota, 1250 S. Tamiami Trail, Q0353 08/22/2007 FL...... N/A Suite 103, Sarasota, FL 34239. Memorial Medical Center, 216 Sunset Place, Neillsville, WI 521323 08/22/2007 WI...... N/A 54456. Central Virginia Imaging, LLC, 1900 Tate Spings Road, Suite 1578594412 08/22/2007 VA...... N/A 21, Lynchburg, VA 24501. Los Alamitos Medical Center, 3951 Katella Ave, Los 50551 08/22/2007 CA...... N/A Alamitos, CA 90720. Valley Advanced Imaging, LLC, 2403 Butler Street, Easton, 1417907023 08/22/2007 PA...... N/A PA 18042. Good Samaritan PET/CT and Imaging Services, 1245 330286 08/22/2007 NY...... N/A Montauk Hwy, West Islip NY 11795. Scotland Memorial Hospital, 500 Lauchwood Drive, 340008 08/22/2007 NC...... N/A Laurinburg, NC 28352. McFarland Clinic, P.C., 1111 Duff Avenue, Ames, IA 50010 ... 1639135643 08/22/2007 IA ...... N/A

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Facility name Provider number Date approved State Other information

Providence Hospital, 1150 Varnum Street, NE., Washington, 90006 08/22/2007 DC...... N/A DC 20017. The Angeles Clinic and Research Institute, 11818 Wilshire W15185A 08/22/2007 CA...... N/A Boulevard, Suite 200, Los Angeles, CA 90025. Rose Radiology Centers, Inc., 5107 N. Armenia Avenue, 1629162904 08/22/2007 FL...... Bldg B. Tampa, FL 33603. Texas Oncology East Houston, 13111 East Freeway, Hous- 1811944101 08/22/2007 TX...... N/A ton, TX 77015. NSMS—St. Joe’s—Breese, IL, 9515 Holy Cross Lane, 208196 08/23/2007 IL...... N/A Breese, IL 62230. UT Cancer Institute, 7945 Wolf River Boulevard, German- 3711381 08/23/2007 TN...... N/A town, TN 38138. Fresno Imaging Center, 6191 N. Rhesta Avenue, Fresno, CA N/A 08/23/2007 CA...... N/A 93710. Imaging Consultants Inc. at Sturdy Memorial, 211 Park 327085 08/23/2007 MA...... N/A Street, Attleboro, MA 02703. Fairfax PET Imaging Center, LLC, 8503 Arlington Boulevard, 1861433674 08/23/2007 VA...... N/A Lower level, Fairfax, VA 22031. City Hospital, Inc., 2500 Hospital Drive, Martinsburg, WV 510008 08/23/2007 WV...... N/A 25401. White Plains Radiology Associates PET Center, Davis and w11842 08/23/2007 NY...... N/A Post Roads, White Plains, NY 10601. Lenoir Memorial Hospital, 100 Airport Road, Kinston, NC 1962446385 08/23/2007 NC...... N/A 28503–1678. Sand Lake Imaging, 9350 Turkey Lake Road, Orlando, FL 34896 08/23/2007 FL...... Suite 100. 32819. Advocate Lutheran General Center For Advanced Care, 1800 140223 08/23/2007 IL...... N/A Luther Lane, Park Ridge, IL 60068. Flower Hospital, 5200 Harroun Road, Sylvania, OH 43560 ..... 360074 08/23/2007 OH ...... N/A Dekalb Memorial Hospital, 1316 E. 7th Street, Auburn, IN N/A 08/23/2007 IN...... N/A 46706. St. John Hospital and Medical Center, 1315 Macom Drive, 116 08/23/2007 IL...... N/A Naperville, IL 60564. Bayhealth Medical Center, 540 S. Governors Avenue, Dover, N/A 08/23/2007 DE...... N/A DE 19904. ImageCare, 713 Troy—Schenectady Road, Suite 124, 1922048370 08/23/2007 NY...... Capital Region Latham, NY 12110. Health Park. Southside Regional Medical Center, 801 South Adams Street, 490067 08/23/2007 VA...... N/A Petersburg, VA 23803. East Alabama Medical Center—Auburn Diagnostic Imaging, 29 08/23/2007 AL...... N/A 1527 Professional Parkway, Auburn, AL 36830. Trover Health System, 900 Hospital Drive, Madisonville, KY 1457354318 08/23/2007 KY...... N/A 42431. Doctors Hospital at Renaissance, Ltd, 5501 S. McColl Road, 450869 08/23/2007 TX...... N/A Edinburg, TX 78359. Twin Lakes Imaging Center, 1890 LPGA Boulevard, Daytona 1023040870 08/23/2007 FL...... Suite 110. Beach, FL 32117. Nathan Littauer Hospital, 99 E. State Street, Gloversville, NY 330276 08/23/2007 NY...... N/A 12078. Altoona Regional Health System, 620 Howard Avenue, Al- 390073 08/23/2007 PA...... N/A toona, PA 16601. Warren General Hospital, 2 Crescent Park West, Warren, PA 390146 08/23/2007 PA...... N/A 16365. Reid Hospital Health Care Services, 1401 Chester Boulevard, 1457354318 08/23/2007 IN...... N/A Richmond, IN 47374. Orange City Area Health System, 1000 Lincoln Circle SE, Or- 161360 08/23/2007 IA...... N/A ange City, IA 51041. Mercy Hospital Clermont, 3000 Hospital Drive, Batavia, OH 1457354318 08/23/2007 OH...... N/A 45103. Arroyo Grande Community Hospital, 345 South Halcyon 50016 08/23/2007 CA...... N/A Road, Arroyo Grande, CA 93454. HealthEast St. John’s Hospital, 1575 Beam Avenue, Maple- 240210 08/23/2007 MN...... N/A wood, MN 55109. St. Joseph’s/Candler Health System, 5353 Reynolds Street, 110024 08/23/2007 GA...... N/A Savannah, GA 31405. NSMS—Pickneyville, IL, 101 North Walnut Street, 208196 08/23/2007 IL...... N/A Pinckneyville, IL 62274. Duke Raleigh Hospital, 3400 Wake Forrest Road, Raleigh, 340073 08/23/2007 NC...... N/A NC 27609. Advanced Radiology Services & The Center for Women 400 33012 08/23/2007 PA...... Suite C. Plaza Court, East Stroudsburg, PA 18301. Community Hospital, 10020 Donald S. Powers Drive, Mun- 140125 08/23/2007 IN...... N/A ster, IN 46321.

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Facility name Provider number Date approved State Other information

Avant Imaging—Woodland Health Center, 7575 Grand River 1457354318 08/23/2007 MI...... N/A Avenue, Brighton, MI 48114. EVDI Medical Imaging—East Mesa, 6424 E. Broadway Road, 1164434098 08/23/2007 AZ...... Suite 101. Mesa, AZ 85206. NSMS—St. Louis, Mo—ARCH Medical, 209 Limestone Pass, 47013 08/23/2007 WI...... N/A Cottage Grove, WI 53527. CNY PET LLC, 5100 West Taft Road, Liverpool, NY 13088 ... AA0672 08/23/2007 NY ...... Suite 2C. MCMI, 3000 Telegraph Avenue, Oakland, CA 94609 ...... ZZZ27496Z 08/23/2007 CA ...... N/A Green Clinic, LLC, 1200 S. Farmerville Street, Ruston, LA 57387 08/23/2007 LA...... N/A 71270. Fayette Memorial Hospital, 3542 North Western Avenue, 150064 08/23/2007 IN...... N/A Connersville, IN 47331. Carolinas Medical Center—Union, 600 Hospital Drive, Mon- 340130 08/23/2007 NC...... Nuclear Medicine roe, NC 28112. Department. Citrus Medical Imaging Associates, Inc., 1000 Lakes Drive, HW2326 08/23/2007 CA...... N/A Suite 170, West Covina, CA 91790. Radiation Oncology at WFUBMC, Radiation Oncology, Med- 340047 08/24/2007 NC...... Wake Forest ical Center Boulevard, Winston—Salem, NC 27152. University Baptist Medical Center Comprehensive Cancer Center. Harrison County Hospital, 245 Atwood Street, Corydon, IN 151331 08/24/2007 IN...... N/A 47112. Thibodaux Regional Medical Center, 602 North Acadia Road, 190004 08/24/2007 LA...... N/A Thibodaux LA 70301. NSMS—Hot Springs, AR, 1600 Higdon Ferry Road, Hot 5F168 08/24/2007 AR...... N/A Springs AR 71913. Pacific Oncology, PC, 15700 SW Greystone Court, Beaverton 1043262116 08/24/2007 OR...... N/A OR 97006. Cancer Care Associates, 1791 E. Fir Avenue, Fresno, CA 222375652 08/24/2007 CA...... N/A 93720. Massatusetts Mobile PET, PC——Newburyport, 25 Highland 327086 08/24/2007 MA...... N/A Avenue, Newburyport, MA 01950. Hematology Oncology Associates of Illinois, 6801 West 34th 218890 08/24/2007 IL...... Suite 107. Street, Berwyn, IL 60402. Massatusetts Mobile PET, PC—Haverhill, 140 Lincoln Ave- 327086 08/24/2007 MA...... N/A nue, Haverhill, MA 01830. Corinth Medical Group, 4851 I35 East, Suite 101, Corinth, TX 00K22X 08/24/2007 TX N/A. 76210. New England PET Imaging Manchester, One Elliot Way Man- 327081 08/24/2007 NH...... N/A chester, NH 03103. The Surgery Clinic, 1026 Goodyear Avenue, Gadsden, AL N/A 08/24/2007 AL...... Suite B–101. 35999. Boston Medical Center 830 Harrison Avenue, Boston, MA 220031 08/24/2007 MA...... Suite 1600. 02118. Mercy Health Center, 4190 24th Avenue, Fort Gratiot, MI 1457354318 08/24/2007 MI...... N/A 48059. The Cancer Center of Santa Barbara, 300 W. Pueblo Street, W13890 08/24/2007 CA...... N/A Santa Barbara, CA 93105. Milford Memorial Hospital Bayhealth Medical Center, 21 W. N/A 08/24/2007 DE...... N/A Clarke Avenue, Milford, DE 19963. North Coast Cancer Care, 417 Quarry Lakes Drive, San- NO9915215 08/24/2007 OH...... N/A dusky, OH 44870. Palm Beach Gardens Open Imaging Center, 3335 Burns U8767 08/24/2007 FL...... N/A Road, #101, Palm Beach Gardens, FL 33408. Advanced Medical Imaging, LLC, 1780 NW Myhre Road, AB24179 08/24/2007 WA...... Suite 1220. Silverdale, WA 98383. Swedish American Hospital, 1401 E State Street, Rockford, 140228 08/24/2007 IL...... N/A IL 61104. Molecular Diagnostics of Eastern Omaha, 117 North 32nd 99894 08/24/2007 NE...... N/A Avenue, Suite 100, Omaha, NE 68131. Kingwood Medical Center, 22999 U.S. Hwy 59, Kingwood, TX 1811942238 08/24/2007 TX...... N/A 77339. Health Village Imaging, 1301 Route 72 West, Manahawkin, 1194810978 08/24/2007 NJ...... Suite 100. NJ 08050. ARH Hazard, 100 Medical Center Drive, Hazard, KY 41701 ... 520795508 08/24/2007 KY ...... N/A Central Florida Imaging, Center, Inc., 6801 U.S. 27 N, Suite 1427076769 08/24/2007 FL...... N/A E–3, Sebring, FL 33870. West Texas Cancer Center, 301 N Washington Avenue, 00543K 08/24/2007 TX...... N/A Odessa, TX 79761. Beloit Memorial Hospital, 1969 West Hart Road, Beloit, WY 520100 08/24/2007 WY...... N/A 53511. Pinnacle Imaging Center, 2390 NW 7th Street, Miami, FL U5131 08/24/2007 FL...... Suite 103. 33125.

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Facility name Provider number Date approved State Other information

PET Imaging of El Paso, 1225 E. Cliff Drive, El Paso, TX FTN035 08/24/2007 TX ...... Building 3, Suite 79902. 200. St. Petersburg General Hospital, 6500 38th Avenue North, St. N/A 08/24/2007 FL...... N/A Petersburg, FL 33710. St. Mary Medical Center, 1201 Langhorne—Newtown Road, 390258 08/24/2007 PA...... N/A Langhorne, PA 19047. St. Joseph Medical Center, 1401 St. Joseph Parkway, Hous- 1154361475 08/24/2007 TX...... N/A ton, TX 77002. UPMC Northwest, 1671 Allegheny Boulevard, Reno, PA 390091 08/24/2007 PA...... N/A 16343. Mercy Hospital Fairfield, 3000 Mack Road, Fairfield, OH 1457354318 08/24/2007 OH...... N/A 45014. Radiology Associates of West Pasco, 5539 Marine Parkway, 1558328963 08/24/2007 FL...... N/A New Port Richey, FL 34652. St. Dominic Hospital, 969 Lakeland Drive, Jackson, MS 250048 08/24/2007 MS...... N/A 39216. RCOA—Adventist Health—Sequoia, 4949 W. Cypress Ave- 1427198696 08/24/2007 CA...... N/A nue, Visalia, CA 93271. McKee Medical Center, 2000 Boise Ave, Loveland, CO 60030 08/24/2007 CO...... N/A 80538. Bon Secours Richmond Community Hospital, 1500 North 490094 08/24/2007 VA...... N/A 28th Street, Richmond, VA 23223. West Houston Medical Center, 12141 Richmond Avenue, 450644 08/24/2007 TX...... N/A Houston, TX 77082. Shands Teaching Hospital and Clinics, Inc., 2000 SW Archer 100113 08/24/2007 FL...... Radiology, Road, Gainesville, FL 32608. Shands Medical Plaza. Tanner Medical Center, 119 Ambulance Drive, Carrollton, GA 110011 08/24/2007 GA...... N/A 30117. OU Medical Center, 700 NE 13th Street, Oklahoma City, OK 1780631390 08/24/2007 OK...... N/A 73104. The Medical Center of Aurora, 1400 S. Potomac Street, Au- 60100 08/24/2007 CO...... #180 rora, CO 80012. AllenRidge Diagnostic Imaging Center, 520 Lecanto Highway, 100023 08/24/2007 FL...... N/A Lecanto, FL 34461. The PET Center at BWMC, 305 Hospital Drive, Baltimore, 1124016696 08/24/2007 MD...... Suite 302. MD 21061. Signet Diagnostic Imaging Services, LLC, 8300 West Sunrise E8667 08/24/2007 FL...... N/A Boulevard, Plantation, FL 33322. Adams Diagnostic Imaging, 20 Expedition Trail, Gettysburg, 65290 08/24/2007 PA...... Suite 102. PA 17325. Jennie Edmundson Hospital, 933 E. Pierce Street, Council 160047 08/24/2007 IA...... N/A Bluffs, IA 51503. Holy Cross Hospital, 4725 N. Federal Highway, Fort Lauder- 100073 08/24/2007 FL...... Bienes Diagnostic dale, FL 33308. Imaging Center. Medical University of Ohio, 3000 Arlington Avenue, Toledo, 1457354318 08/24/2007 OH...... N/A OH 43614. Daviess Community Hospital, 1314 E Walnut Street, Wash- 150061 08/24/2007 IN...... Radiology ington, IN 47501. Department. Jeff Anderson Regional Medical Center, 2124 14th Street, 250104 08/24/2007 MS...... N/A Meridian, MS 39301. Modesto Imaging Center, 157 E. Coolidge Avenue, Modesto, ZZZ01977Z 08/24/2007 CA...... N/A CA 95350. Sioux Center Commmunity Hospital and Health Center, 605 161346 08/24/2007 IA...... N/A South Main Ave, Sioux Center, IA 51250. Southern Ohio Medical Center, 1121 Kinneys Lane, Ports- 360008 08/24/2007 OH...... N/A mouth, OH 45662. Massachusetts General Hospital, 55 Fruit Street, Boston, MA 220071 08/24/2007 MA...... N/A 02114. Clinton Memorial Hospital Regional Health System, 31 316005307 08/24/2007 OH...... N/A Farquhar Avenue, Wilmington, OH 45177. CJW Medical Center, 1401 Johnston Willis Drive, Richmond, 34632 08/24/2007 VA...... N/A VA 23235. Texas Oncology Weatherford, 907 Foster Lane, Weatherford, 00539K 08/24/2007 TX...... N/A TX 76086. Sharper Imaging Diagnostic Radiology Center, 3430 Tamiami 1730288515 08/24/2007 FL...... Suite B. Trail, Port Charlotte, FL 33952. Morristown—Hamblin Healthcare System, 908 W. 4th N. 1457354318 08/24/2007 TN...... N/A Street, Morristown, TN 37814. Puget Sound PET Imaging, 6808 220th Street SW, 115162600 08/24/2007 WA...... Suite 150. Mountlake Terrace, WA 98043. Detar Hospital Navarro, 506 E. San Antonio Street, Victoria, 450147 08/24/2007 TX...... N/A TX 77902.

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Facility name Provider number Date approved State Other information

PET Imaging of Chicago, 6801 West 34th Street, Suite 105, 214832 08/24/2007 IL...... N/A Berwyn, IL 60402. Imaging Specialists Group, Ltd., 3101 Churchill Road, Flower 1417991852 08/24/2007 TX...... Suite 100. Mound, TX 75022. OKOmed Downtown Imaging, 2101 Crawford Street, Suite 1780622464 08/24/2007 TX...... N/A 115, Houston, TX 77002. Clear Lake Regional Medical Center, 500 Medical Center 1063466035 08/24/2007 TX...... N/A Boulevard, Webster, TX 77598. Norton Hospital, 315 East Broadway, Louisville, KY 40202 .... 180088 08/24/2007 KY ...... N/A Saratoga PET Associates, LLC, 3 Emma Lane, Clifton Park, 1356357172 08/24/2007 NY...... N/A NY 12065. Genesis Health Care System, 2800 Maple Avenue, Zanes- 1457354318 08/24/2007 OH...... N/A ville, OH 43701. Lake Cumberland Regional Hospital, 27 Imaging Drive, Som- 1457354318 08/24/2007 KY...... N/A erset, KY 42503. Saint Francis Cancer Institute, 14 Doctors’ Park, Cape 260183 08/24/2007 MO...... N/A Girardeau, MO 63703. American Health Network of IN, LLC—PET/CT, 6820 1164491775 08/24/2007 IN...... Suite #105. Parkdale Place, Indianapolis, IN 46254. PET CT Nuclear Radiology, Inc., 1501 Edisicio Detantacourt, 57886 08/24/2007 PR...... Fernadez Juncos Suite 302, Fernadez Juncos Santorze, PR 909. Santorze. NSMS—Reedsburg, WI 2000 North Dewey Street, 1295785079 08/24/2007 WI...... N/A Reedsburg, WI 53959. Wayne Memorial Hospital, 2700 Wayne Memorial Hospital, 340010 08/24/2007 NC...... N/A Goldsboro, NC 27534. InMed Diagnostic Services of IL, 10419 Fleming Road, 205040 08/24/2007 IL...... N/A Carterville, IL 62918. Henrico Doctors’ Hospital, 1602 Skipwith Road, Richmond, 490118 08/24/2007 VA...... N/A VA 23229. Alliance Imaging—United General Hospital, 2000 Hospital 8862377 08/24/2007 WA...... N/A Drive, Sedro Woolley, WA 98284. Spencer Municipal Hospital, 1200 First Avenue East, Spen- 1255328621 08/24/2007 IA...... N/A cer, IA 51301. Radiology LTD LaCholla Center—Diagnostic Imaging, 5960 1841261989 08/24/2007 AZ...... N/A N. LaCholla Avenue, Tucson, AZ 85704. Saint Elizabeth Regional Medical Center, 555 South 70th 280020 08/24/2007 NE...... N/A Street, Lincoln, NE 68510. Bucyrus Community Hospital, 629 N. Sandusky Avenue, 361316 08/24/2007 OH...... N/A Bucyrus, OH 44820. Mercy Hospital of Willard, 110 E. Howard Street, Willard, OH 361310 08/24/2007 OH...... N/A 44890. Lower Columbia Pathologists, 1606 East Kessler Boulevard, 745800 08/24/2007 WA...... 4th Floor. Longview, WA 98632. Newton Medical Center, 600 Medical Center Drive, Newton, 170103A 08/24/2007 KS...... N/A KS 67114. Advanced Imaging Partners, 508 Cleveland Street, Great 1295791325 08/24/2007 KS...... N/A Bend, KS 67530. Integrated Medical Imaging, 1040 Greenwood Springs Boule- 221970 08/24/2007 IN...... N/A vard, Greenwood, IN 46143. Avera Sacred Heart Cancer Center, 501 Summit Street, 430012 08/24/2007 SD...... N/A Yankton, SD 57078. ValleyCare Medical Center, 5555 W. Las Positas Boulevard, 50283 08/24/2007 CA...... N/A Pleasanton, CA 94588. NSMS—Mena, AR, 311 North Morrow Street, Mena, AR 1295785079 08/24/2007 AR...... N/A 71953. Memorial Hospital Easton, 219 S. Washington Street, Easton, 210037 08/24/2007 MD...... N/A MD 21601. Seattle Cancer Care Alliance, 825 Eastlake Avenue E, Se- 500138 08/24/2007 WA...... Medical Imaging. attle, WA 98109. Alliance Imaging—The Vancouver Clinic, 700 NE 87th Ave- 8864364 08/24/2007 WA...... N/A nue, Vancouver, WA 98664. Martin Center for Diagnostic and Imaging Services, 3901 S. 260040 08/24/2007 MO...... N/A Fremont Avenue, Springfield, MO 65804. Aultman Hospital, 2600 Sixth Street, SW., Canton, OH 44710 1457354318 08/24/2007 OH ...... N/A Imaging Consultants, Inc. at Harrington Memorial, 600 Fed- 327085 08/24/2007 MA...... N/A eral Street, Andover, MA 01810. Rhode Island PET Services at Kent County, 600 Federal 1538113113 08/24/2007 MA...... N/A Street, Andover, MA 01810. Imaging Consultants Inc. at Hawthorn, 600 Federal Street, 1851449078 08/24/2007 MA...... N/A Andover, MA 01810. Swedish Covenant Hospital, 5145 N California Avenue, Chi- 362179813 08/24/2007 IL...... N/A cago, IL 60625. Banner Baywood Medical Center, 6644 E. Baywood Avenue, 30088 08/24/2007 AZ...... N/A Mesa, AZ 85206.

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Facility name Provider number Date approved State Other information

Lourdes Hospital, 1530 Lone Oak Road, Padukah, KY 42003 1346244126 08/24/2007 KY ...... N/A St Vincent Oncology Center, 8301 Harcourt Road, Indianap- 150084 08/24/2007 IN...... N/A olis, IN 46260. United Hospital System, Inc., 9555 76th Street, Pleasant Prai- 520021 08/24/2007 WI...... N/A rie, WI 53518. East Tennessee Diagnostic Center, 1450 Dowell Springs 1710932553 08/24/2007 TN...... N/A Boulevard, Suite 210, Knoxville, TN 37909. Nazareth Hospital, 8400 Roosevelt Boulevard, Philadelphia, 390204A 08/24/2007 PA...... N/A PA 19152. Good Samaritan Hospital, 2425 Samaritan Drive, San Jose, 50380 08/24/2007 CA...... N/A CA 95124. MedSpecialists Imaging Center, 1064 Keene Road, Dunedin, AB585 08/24/2007 FL...... N/A FL 34698. NSMS—Pekin, IL, 2355 Broadway Road, Pekin, IL 61544 ..... 1295785079 08/24/2007 IL ...... N/A Bluegrass Regional Imaging, LLC 701 Bob—O—Link Drive, 1871542670 08/24/2007 KY...... Suite 245. Lexington, KY 40504. Fairfax PET Imaging Center, 8503 Arlington Boulevard, Fair- 1831220714 08/24/2007 VA...... Suite 120LL. fax, VA 22031. Lodi Community Hospital, 225 Elyria Street, Lodi, OH 44254 361303 08/24/2007 OH ...... N/A Legacy Meridian Park Hospital, 19260 SW 65th Avenue, 380089 08/24/2007 OR...... N/A Suite 165, Tualatin, OR 97062. Galion Community Hospital, 269 Portland Way South, Galion, 361325 08/24/2007 OH...... N/A OH 44833. Oncology Hematology Associates of Central Illinois, 8940 N. 616880 08/24/2007 IL...... N/A Wood Sage Road, Peoria, IL 61615. Mid Ohio Oncology/Hematology, Inc., 3100 Plaza Properties 1376509661 08/24/2007 OH...... N/A Boulevard, Columbus, OH 43219. Kentucky Imaging Center, 3475 Richmond Road, Lexington, 1992876981 08/24/2007 KY...... Suite 150. KY 40509. Salem Community Hospital, 1995 East State Street, Salem, 1639131535 08/24/2007 OH...... N/A OH 44460. Belmont Community Hospital, 51339 National Road, St. 360153 08/24/2007 OH...... N/A Clairsville, OH 43950. Golder CT and MRI Center, 613 North Golder Avenue, Odes- N/A 08/24/2007 TX...... N/A sa, TX 79761. NSMS—Reedsburg, WI 2000 North Dewey Street, 1295785097 08/24/2007 WI...... N/A Reedsburg, WI 53959. MaineGeneral Medical Center, 361 Old Belgrade Road, Au- 200039A 08/24/2007 ME...... N/A gusta, ME 04330. The Oklahoma PET Center, PLLC 5401 N. Portland Avenue, 569959716M 08/24/2007 OK...... N/A Suite 330, Oklahoma City, OK 73112. NSMS—Blytheville, AR, 1520 North Division Street, Blythe- 1295785079 08/24/2007 AR...... N/A ville, AR 72316. NSMS—Benton, AR, 1 Medical Park Drive, Benton, AR 1295785079 08/24/2007 AR...... N/A 72015. Mercy Health System, 1000 Mineral Point Avenue, Janesville, 520066 08/24/2007 WI...... N/A WI 53548. WA Foote Memorial Hospital, 205 N. East Avenue, Jackson, 230092 08/24/2007 MI...... N/A MI 49201. Northern Michigan Hospital, 416 Connable Avenue, Petoskey, 230105 08/24/2007 MI...... N/A MI 49770. Anchor Health Centers, 800 Goodlette Road N., Naples, FL 1174571608 08/24/2007 FL...... Suite 130. 34102. New Ulm Medical Center, 1324 5th North Street, New Ulm, 2880 08/24/2007 MN...... N/A MN 56073. Radiology Associates of Brooklyn LLP, 2021 Avenue X, 1134244916 08/24/2007 NY...... N/A Brooklyn, NY 11235–2905. NYOH Mobile PET/CT Hudson, 69 Prospect Road, Hudson, 1609863448 08/24/2007 NY...... N/A NY 12534. Integris Bass Baptist Health Center, 600 South Monroe, Enid, 1144236571 08/24/2007 OK...... N/A OK 73703. Imaging Consultants Inc at Weymouth Woods, 59 Perform- 1487690335 08/24/2007 MA...... N/A ance Drive, Weymouth, MA 02188. St. Vincent Medical Center, 2131 W. Third Street, Los Ange- 50502 08/24/2007 CA...... N/A les, CA 90057. Caritas PET Imaging, LLC at Holyoke Medical Center, 575 327087 08/24/2007 MA...... N/A Beech Street, Holyoke, MA 01040. St. James Healthcare, 400 South Clark, Butte, MT 59701 ...... 270017 08/24/2007 MT ...... N/A Inglewood Imaging Center, 211 N. Prairie Avenue, Inglewood, TD097 08/24/2007 CA...... N/A CA 90301. Duncan Regional Hospital, 1700 Whisenant Drive, Duncan, 370023 08/24/2007 OK ...... PO Box 100. OK 73534. OhioHealth Ambulatory PET/CT, 500 Thomas Lane, Colum- 360006 08/24/2007 OH...... N/A bus, OH 43214.

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Facility name Provider number Date approved State Other information

Baylor Diagnostic Imaging Center at Junius, 3900 Junius 450021 08/24/2007 TX...... N/A Street, Suite 100, Dallas, TX 75246. PET/CT Imaging at White Marsh, 9900 Franklin Square FMNX01 08/28/2007 MD...... N/A Drive, Suite D, Nottingham, MD 21236. Central Baptist Diagnostic Center, 100 Southland Drive, Lex- 9375001 06/14/2006 KY...... Suite B. ington, KY 40503. Baptist Health Medical Center—NLR PET/CT, 3500 Springhill 5F437 05/03/2006 AR...... Suite 100. Drive, North Little Rock, AR 72117. Commonwealth Hematology Oncology, 95 Bogle Office Park 1285687178 03/21/2007 KY...... N/A Drive, Somerset, KY 42503. Commonwealth Hematology Oncology, 216 Southtown Drive, 1285687178 03/21/2007 KY...... N/A Danville, KY 40422. Jefferson Center City Imaging, 850 Walnut Street, Philadel- 66277 09/07/2007 PA...... N/A phia, PA 19107. EPIC Imaging Center, 233 NE 102 Avenue, Portland, OR 0000WCGNQ 09/11/ OR N/A. 97220. 2007 UPMC and The Washington Hospital Cancer Center, 155 Wil- 105589VXB 03/10/2006 PA...... N/A son Avenue, Washington, PA 15301. Lexington Diagnostic Center, 1725 Harrodsburg Road, Suite 0406 03/08/2006 KY...... N/A 100, Lexington, KY 40504. UW PET Imaging Center, 8007 Excelsior Drive, Madison, WI 1346266319 04/03/2007 WI...... N/A 53717. NorCal Imaging—Oakland, 3200 Telegraph Avenue, Oakland, ZZZ05319Z 08/22/2007 CA...... N/A CA 94609. NorCal Imaging—Walnut Creek, 114 La Casa Via, Suite ZZZ05319Z 08/22/2007 CA...... N/A #100, Walnut Creek, CA 94598.

Addendum XIII—Medicare-Approved of destination therapy. We determined application process. All facilities were Ventricular Assist Device (Destination that ventricular assist devices used as required to meet our standards in order Therapy) Facilities [July Through destination therapy are reasonable and to receive coverage for ventricular assist September 2007] necessary only if performed in facilities devices implanted as destination that have been determined to have the therapy. On October 1, 2003, we issued our experience and infrastructure to ensure The following facilities have met the decision memorandum on ventricular optimal patient outcomes. We CMS facility standards for destination assist devices for the clinical indication established facility standards and an therapy VADs.

VAD DESTINATION THERAPY FACILITIES

Provider num- Facility ber Date approved State Other information

Advocate Christ Medical Center, 4440 W 95th Street, Oak Lawn, Illinois .. 140208 12/17/2003 IL ...... California Pacific Medical Center, 2333 Buchanan Street, San Francisco, 050047 03/19/2004 CA.... California. Baptist Memorial Hospital, 6019 Walnut Grove Road, Memphis, Ten- 440048 04/07/2004 TN..... nessee. Duke University Medical Center, DUMC Box 3943, Durham, North Caro- 340030 10/31/2003 NC.... lina. Fairview-University Medical Center, 2450 Riverside Avenue, Minneapolis, 240080 10/28/2003 MN.... Minnesotta. Allegheny General Hospital, 320 E North Avenue, Pittsburgh, Pennsyl- 390050 12/10/2003 PA..... vania. Barnes-Jewish Hospital, One Barnes-Jewish Hospital Plaza, Saint Louis, 260032 10/27/2003 MO.... Missouri. Brigham and Women’s Hospital, 15 Francis Street, Boston, Massachu- 220110 01/09/2004 MA.... setts. Bryan LGH Medical Center East, 1600 S 48 Street, Lincoln, Nebraska ..... 280003 10/23/2003 NE .... Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, Cali- 050625 12/29/2003 CA.... fornia. Clarian Health Partners, Inc., 1701 N. Senate Avenue, Indianapolis, Indi- 150056 11/25/2003 IN...... ana. Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio ...... 360180 12/03/2003 OH .... Hahnemann University Hospital, Broad and Vine Streets, Philadelphia, 390290 12/22/2003 PA..... Pennsylvania. Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadel- 390111 10/28/2003 PA..... phia, Pennsylvania. Henry Ford Hospital, 2799 W. Grand Boulevard, Detroit, Michigan ...... 230053 01/06/2004 MI ..... Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, Virginia ...... 490063 03/31/2004 VA ..... Jewish Hospital, 200 Abraham Flexner Way, Louisville, Kentucky ...... 180040 11/10/2003 KY ..... Jackson Memorial Hospital, 1611 NW 12th Avenue, Miami, Florida ...... 100022 01/12/2004 FL ..... University of Miami. LDS Hospital, 8th Avenue and C Street, Salt Lake City, Utah ...... 460010 10/23/2003 UT .....

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VAD DESTINATION THERAPY FACILITIES—Continued

Provider num- Facility ber Date approved State Other information

Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, Maryland ...... 210009 10/28/2003 MD .... Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, Illinois 140276 01/30/2004 IL ...... Lutheran Hospital of Indiana, 7950 W. Jefferson Boulevard, Fort Wayne, 150017 10/29/2003 IN...... Indiana. Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 220071 12/15/2003 MA .... Mayo Clinic, 4500 San Pablo Road, Jacksonville, Florida ...... 100151 11/06/2003 FL ..... Medical City Dallas Hospital, 7777 Forest Lane, Dallas, Texas ...... 450647 12/03/2003 TX ..... The Methodist Hospital, 6565 Fannin Street, Houston, Texas ...... 450358 11/03/2003 TX ..... Montefiore Medical Center, 111 E. 210th Street, Bronx, New York ...... 330059 11/14/2003 NY .... Methodist Specialty and Transplant Hospital, 8026 Floyd Curl Drive, San 450388 11/19/2003 TX..... Antonio, Texas. Newark Beth Israel Medical Center, 201 Lyons Avenue, Newark, New 310002 11/14/2003 NJ..... Jersey. Mount Sinai Medical Center, 1190 5th Avenue, New York, New York ...... 330024 11/25/2003 NY .... New York-Presbyterian Hospital, 177 Fort Washington Avenue, New 330101 10/28/2003 NY.... Columbia University York, New York. Medical Center. Ohio State University Medical Center, 410 W. 10th Avenue, Columbus, 360085 11/12/2003 OH.... Ohio. Oregon Health and Sciences University, 3181 SW Sam Jackson Park 380009 11/21/2003 OR.... Road, Portland, Oregon. OSF St Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, Illi- 140067 11/12/2003 IL...... nois. Penn State Milton S Hershey Medical Center, 500 University Drive, Her- 390256 10/29/2003 PA..... shey, Pennsylvania. Rush-Presbyterian-St Luke Medical Center, 1653 W Congress Parkway, 140119 11/14/2003 IL...... Chicago, Illinois. Sentara Norfolk General Hospital, 600 Gresham Drive, Norfolk, Virginia ... 490007 11/10/2003 VA ..... Sacred Heart Medical Center, 101 W 8th Avenue, Spokane, Washington 500054 01/12/2004 WA .... Seton Medical Center, 1201 W. 38th Street, Austin, Texas ...... 450056 01/13/2004 TX ..... Shands at the University of Florida, 1600 SW Archer Road, Gainesville, 100113 11/26/2003 FL..... Florida. Sharp Memorial Hospital, 7901 Frost Street, San Diego, California ...... 050100 12/01/2003 CA .... Stanford University Hospital and Clinics, 300 Pasteur Drive, Stanford, 050441 12/22/2003 CA .... Stanford University Med- California. ical Center. St Francis Hospital, 6161 S. Yale Avenue, Tulsa, Oklahoma ...... 370091 01/09/2004 OK .... St Luke’s Medical Center, 2900 W Oklahoma Avenue, Milwaukee, Wis- 520138 11/03/2003 WI..... consin. St Luke’s Episcopal Hospital, 6720 Bertner Avenue, Houston, Texas ...... 450193 10/28/2003 TX ..... St Vincent Hospital and Health Services, 2001 W. 86th Street, Indianap- 150084 01/05/2004 IN...... olis, Indiana. St Paul Medical Center, 5909 Harry Hines Boulevard, Dallas, Texas ...... 450044 12/10/2003 TX ..... Strong Memorial Hospital, 601 Elmwood Avenue, Rochester, New York ... 330285 10/29/2003 NY .... Tampa General Hospital, 2 Columbia Drive, Tampa, Florida ...... 100128 11/26/2003 FL ..... Temple University Hospital, 3401 N. Broad Street, Philadelphia, Pennsyl- 390027 11/03/2003 PA..... vania. Tufts-New England Medical Center, 750 Washington Street, Boston, Mas- 220116 11/06/2003 MA.... sachusetts. UCLA Medical Center, 10833 Le Conte Avenue, Los Angeles, California 050262 12/10/2003 CA .... University Medical Center, 1501 N. Campbell Avenue, Tucson, Arizona ... 030064 10/29/2003 AZ ..... University of Alabama at Birmingham Health System, 500 22nd Street S, 010033 10/29/2003 AL..... Birmingham, Alabama. University of Colorado Hospital, 4200 E. Ninth Avenue, Denver, Colorado 060024 11/06/2003 CO .... 9th & Colorado Campus. The University of Chicago Hospitals and Health System, 5841 South 140088 02/25/2004 IL...... Maryland Avenue, Chicago, Illinois. University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, 160058 11/12/2003 IA...... Iowa. University of Maryland Medical Center, 22 S. Greene Street, Baltimore, 210002 11/12/2003 MD.... Maryland. University of Michigan Health System, 1500 E. Medical Center Drive, Ann 230046 10/27/2003 MI..... Arbor, Michigan. University of North Carolina Hospitals, 101 Manning Drive, Chapel Hill, 340061 05/05/2004 NC.... North Carolina. University of Utah Hospital, 50 N Medical Drive, Salt Lake City, Utah ...... 460009 12/22/2003 UT ..... University of Virginia Health System, 1215 Lee Street, Charlottesville, Vir- 490009 01/12/2004 VA..... ginia. University of Washington Medical Center, 1959 NE Pacific Street, Seattle, 500008 01/15/2004 WA.... Washington. University of Wisconsin Hospitals and Clinics, 600 Highland Avenue, 520098 12/03/2003 WI..... Madison, Wisconsin. USC University Hospital, 1500 San Pablo, Los Angeles, California ...... 050696 01/09/2004 CA .... UPMC Presbyterian, 200 Lothrop Street, Pittsburgh, Pennsylvania ...... 390164 10/23/2003 PA .....

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VAD DESTINATION THERAPY FACILITIES—Continued

Provider num- Facility ber Date approved State Other information

Virginia Commonwealth University Medical Center, 401 North 12th Street, 490032 04/08/2004 VA ..... Medical College of Vir- Richmond, Virginia. ginia Hospitals. Vanderbilt University Medical Center, 1161 21st Avenue S, Nashville, 440039 10/28/2003 TN..... Tennessee. Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, Lou- 190036 06/29/2004 LA..... isiana.

Addendum XIV—Lung Volume Reduction Surgery (LVRS): National Commission on Accreditation of Reduction Surgery (LVRS) [July Emphysema Treatment Trial (NETT) Healthcare Organizations (JCAHO) Through September 2007] approved (Beginning 05/07/2007, these under their Disease Specific will no longer automatically qualify and Certification Program for LVRS, and Three types of facilities are eligible for can qualify only with the other Medicare approved for lung transplants. reimbursement for Lung Volume programs), credentialed by the Joint Only the first two types are in the list.

Date Type of Facility name approved State certification

Baylor College of Medicine, Houston, Texas ...... N/A ...... TEXAS ...... NETT Brigham and Women’s Hospital, Boston, MA ...... N/A ...... MASSACHUSETTS ...... NETT Cedars-Sinai Medical Center, Los Angeles, CA ...... N/A ...... CALIFORNIA ...... NETT Chapman Medical Center, Orange, CA ...... N/A ...... CALIFORNIA ...... NETT Cleveland Clinic Foundation, Cleveland, OH ...... N/A ...... OHIO ...... NETT Columbia University, New York, NY ...... N/A ...... NEW YORK ...... NETT Duke University Medical Center, Durham, NC ...... N/A ...... NORTH CAROLINA ...... NETT Johns Hopkins Hospital, Baltimore, MD ...... N/A ...... MARYLAND ...... NETT Kaiser Foundation Hospital—Riverside, Riverside, CA ..... 09/20/2006 ...... CALIFORNIA ...... JCAHO Long Island Jewish Medical Center, New Hyde Park, NY N/A ...... NEW YORK ...... NETT Mayo Clinic, Rochester, MN ...... N/A ...... MINNESOTA ...... NETT Memorial Medical Center, Springfield, IL ...... 12/13/2006 ...... ILLINOIS ...... JCAHO National Jewish Medical Center, Denver, CO ...... N/A ...... COLORADO ...... NETT The Ohio State University Hospital, Columbus, OH ...... N/A ...... OHIO ...... JCAHO Ohio State University Medical Center, Columbus, OH ...... N/A ...... OHIO ...... NETT Saint Louis University, Saint Louis, MO ...... N/A ...... MISSOURI ...... NETT Temple University Hospital, Philadelphia, PA ...... N/A ...... PENNSYLVANIA ...... NETT UCLA Medical Center, Los Angeles, CA ...... N/A ...... CALIFORNIA ...... NETT University of California, San Diego, San Diego, CA ...... N/A ...... CALIFORNIA ...... NETT University of Maryland Medical Center, Baltimore, MD ..... N/A ...... MARYLAND ...... NETT University of Michigan Medical Center, Ann Arbor, MI ..... N/A ...... MICHIGAN ...... NETT University of Pennsylvania, Philadelphia, PA ...... N/A ...... PENNSYLVANIA ...... NETT University of Pittsburgh, Pittsburgh, PA ...... N/A ...... PENNSYLVANIA ...... NETT University of Washington, Seattle, WA ...... N/A ...... WASHINGTON ...... NETT Washington University/Barnes Hospital, Saint Louis, MO N/A ...... MISSOURI ...... NETT

Addendum XV—Medicare-Approved unsuccessful with medical treatment for Society for Bariatric Surgery (ASBS) as Bariatric Surgery Facilities obesity. a Bariatric Surgery Center of Excellence On February 21, 2006, we issued our This decision also stipulated that (BSCOE) (program standards and decision memorandum on bariatric covered bariatric surgery procedures are requirements in effect on February 15, surgery procedures. We determined that reasonable and necessary only when 2006). bariatric surgical procedures are performed at facilities that are: (1) The following facilities have met our reasonable and necessary for Medicare Certified by the American College of minimum facility standards for bariatric beneficiaries who have a body-mass Surgeons (ACS) as a Level 1 Bariatric surgery and have been certified by index (BMI) greater than or equal to 35, Surgery Center (program standards and American College of Surgeons (ACS) or have at least one co-morbidity related to requirements in effect on February 15, American Society for Metabolic and obesity, and have been previously 2006); or (2) certified by the American Bariatric Surgery (ASMBS).

Facility name Provider No. Date approved State Other information

Evanston Northwestern Hospital, 2650 Ridge Avenue, 140010 01/26/2006 IL ACS. Suite 1308, Evanston, IL 60201. Chapman Medical Center, 2601 East Chapman Avenue, 05–0745 02/21/2006 CA ASMBS. Orange, CA 92646. St Vincent Carmel Hospital, 13430 Old Meridian Street, 15–0157 02/21/2006 IN ASMBS. Suite 168, Carmel, IN 46032. Abbott Northwestern Hospital, 800 E. 28th Street, Min- N/A 02/24/2006 MN ASMBS. neapolis, MN 55407.

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Facility name Provider No. Date approved State Other information

Alexian Brothers Medical Center, 800 Biesterfield Road, N/A 02/24/2006 IL ASMBS. Elk Grove Village, IL 60007. American Bariatric Institute at Doctors’ Hospital, 1130 N/A 02/24/2006 LA ASMBS. Louisiana Avenue, Shreveport, LA 71101. Arnot Ogden Medical Center, 600 Fitch Street, Elmira, 330090 02/24/2006 NY ASMBS. NY 14905. AtlantiCare Regional Medical Center, 2500 English Creek N/A 02/24/2006 NJ Center for Surgical Weight Loss and Avenue, Egg Harbor Township, NJ 08234. Wellness Salartash Surgical Associates ASMBS. Atlanta Medical Center, 303 Parkway Drive NE, Atlanta, N/A 02/24/2006 GA ASMBS. GA 30312. Aurora Sinai Medical Center, 945 N. 12th Street, Mil- N/A 02/24/2006 WI ASMBS. waukee, WI 53211. Baptist Memorial Hospital North Mississippi, 2301 South N/A 02/24/2006 MS ASMBS. Lamar Boulevard, Oxford, MS 38655. Bellin Health, 215 N. Webster Avenue, Green Bay, WI N/A 02/24/2006 WI ASMBS. 54301. Bon Secours Community Hospital, 160 E. Main Street, N/A 02/24/2006 NY ASMBS. Port Jervis, NY 12771. California Pacific Medical Center, 2333 Buchanan Street, N/A 02/24/2006 CA ASMBS. San Francisco, CA 94115. Cape Fear Valley Health System, 1638 Owen Drive, Fay- N/A 02/24/2006 NC ASMBS. etteville, NC 28304. Centennial Center for the Treatment of Obesity, 2300 N/A 02/24/2006 TN ASMBS. Patterson Street, Nashville, TN 37203. Cleveland Clinic Hospital-Weston, 3100 Weston Road, N/A 02/24/2006 FL ASMBS. Weston, FL 33331. Christus Schumpert Health System, 1 Saint Mary Place, N/A 02/24/2006 LA ASMBS. Shreveport, LA 71101. Citizen’s Bariatric Center, 2701 Hospital Avenue, Victoria, N/A 02/24/2006 TX ASMBS. TX 77901. Columbia-St. Mary’s Bariatric Center, 2025 E. Newport N/A 02/24/2006 WI ASMBS. Avenue, Milwaukee, WI 53211. Community Hospital Monterey Peninsula, 23625 Holman N/A 02/24/2006 CA ASMBS. Highway, Monterey, CA 93940. Crestwood Medical Center, One Hospital Drive, Hunts- N/A 02/24/2006 AL ASMBS. ville, AL 35801. Cypress Fairbanks Medical Center Hospital, 10655 450716 02/24/2006 TX ASMBS. Steepletop Drive, Houston, TX 77065. Danbury Hospital, 24 Hospital Avenue, Danbury, CT N/A 02/24/2006 CT ACS. 06810. East Texas Medical Center, 1000 S. Beckman Avenue, N/A 02/24/2006 TX ASMBS. Tyler, TX 75701. Eastern Maine Medical Center, 905 Union Street, EMH 200033 02/24/2006 ME ASMBS. Mall, Suite 11, Bangor, ME 04401. Elmbrook Memorial Hospital, 19333 W. North Avenue, N/A 02/24/2006 WI ASMBS. Brookfield, WI 53045. Emory Dunwoody Medical Center, 4575 N. Shallowford N/A 02/24/2006 GA ASMBS. Road, Atlanta, GA 30338. Florida Hospital Celebration Health, 400 Celebration N/A 02/24/2006 FL ASMBS. Place, Kissimmee, FL 34747. Florida Medical Center, 4850 W. Oakland Boulevard, N/A 02/24/2006 FL ASMBS. Lauderdale Lakes, FL 33313. Froedtert Memorial Lutheran Hospital, 9200 W. Wis- N/A 02/24/2006 WI Medical College of Wisconsin ASMBS. consin Avenue, Milwaukee, WI 53226. Frye Regional Medical Center, 420 N. Center Street, N/A 02/24/2006 NC ASMBS. Hickory, NC 28601. Geisinger Medical Center, 100 North Academy Avenue, 390006 N/A PA ASMBS.–02/24/2006 ACS–01/26/2007. Danville, PA 17822. Good Samaritan Hospital, 375 Dixmyth Avenue, Cin- N/A 02/24/2006 OH ASMBS. cinnati, OH 45220. Grandview Medical Center, 405 Grand Avenue, Dayton, N/A 02/24/2006 OH ASMBS. OH 45405. Greater Baltimore Medical Center, 6701 N. Charles N/A 02/24/2006 MD ASMBS. Street, Baltimore, MD 21204. Hamilton Medical Center, 1200 Memorial Drive, Dalton, N/A 02/24/2006 GA ASMBS. GA 30720. Hennepin County Medical Center, 701 Park Avenue, Min- N/A 02/24/2006 MN ASMBS. neapolis, MN 55415. Holy Cross Hospital, 4725 N. Federal Highway, Fort Lau- N/A 02/24/2006 FL ASMBS. derdale, FL 33308. Hospital of Saint Raphael, 1450 Chapel Street, New N/A 02/24/2006 CT ASMBS. Haven, CT 06511.

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Facility name Provider No. Date approved State Other information

Huntington Memorial Hospital, 100 W. California Boule- N/A 02/24/2006 CA ASMBS. vard, Pasadena, CA 91105. Jupiter Medical Center, 1210 S. Old Dixie Highway, Jupi- N/A 02/24/2006 FL ASMBS. ter, FL 33458. King’s Daughters Medical Center, 617 23rd Street, Ash- N/A 02/24/2006 KY ASMBS. land, KY 41101. Legacy Good Samaritan Hospital and Medical Center, N/A 02/24/2006 OR ASMBS. 1015 NW 22nd Avenue, Portland, OR 97210. Lexington Medical Center, 2720 Sunset Boulevard, West N/A 02/24/2006 SC ASMBS. Columbia, SC 29169. Little Company of Mary, 2800 W. 95th Street, Evergreen N/A 02/24/2006 IL ASMBS. Park, IL 60805. Lutheran Medical Center, 150 55th Street, Brooklyn, NY 29D361 02/24/2006 NY ACS. 11220. Medical University of South Carolina, 171 Ashley Ave- N/A 02/24/2006 SC ASMBS. nue, Charleston, SC 29425. Memorial Hermann Hospital, 6411 Fannin Street, Hous- N/A 02/24/2006 TX ASMBS. ton, TX 77030. Memorial Hospital, 2525 DeSales Avenue, Chattanooga, N/A 02/24/2006 TN ASMBS. TN 37404. Mercy Hospital Miami, 3663 South Miami Avenue, Miami, N/A 02/24/2006 FL ASMBS. FL 33133. Mercy San Juan Medical Center, 6501 Coyle Avenue, N/A 02/24/2006 CA ASMBS. Carmichael, CA 95608. Metabolic Surgery Center at Baptist Hospital, 2011 N/A 02/24/2006 TN ASMBS. Church Street, Nashville, TN 37203. Methodist Dallas Medical Center, PO Box 655999, Dal- N/A 02/24/2006 TX Texas Bariatric Center ASMBS. las, TX 75265–5999. Methodist Healthcare System, 8109 Fredricksburg Road, N/A 02/24/2006 TX ASMBS. San Antonio, TX 78229. Methodist Hospital, 6500 Excelsior Boulevard, Saint N/A 02/24/2006 MN ASMBS. Louis Park, MN 55426. Middlesex Hospital, 28 Crescent Street, Middletown, CT N/A 02/24/2006 CT ASMBS. 06457. Methodist Hospital of Southern California, 300 West Hun- N/A 02/24/2006 CA ASMBS. tington Drive, Arcadia, CA 91007. Mills-Peninsula Health Services, 1783 El Camino Real, N/A 02/24/2006 CA ASMBS. Burlingame, CA 94010. New Hanover Regional Medical Center, 2131 S. 17th N/A 02/24/2006 NC ASMBS. Street, Wilmington, NC 28401. New York Methodist Hospital, 506 Sixth Street, Brooklyn, N/A 02/24/2006 NY ASMBS. NY 11215. North Hills Hospital, 4401 Booth Calloway Road, North N/A 02/24/2006 TX ASMBS. Richland Hills, TX 76180. North Colorado Medical Center, 1801 16th Street, Gree- N/A 02/24/2006 CO ASMBS. ley, CO 80631. North Vista Hospital, 1409 E. Lake Mead Boulevard, N/A 02/24/2006 NV ASMBS. North Las Vegas, NV 89101. Northeast Georgia Health System, Inc., 743 Spring N/A 02/24/2006 GA ASMBS. Street, NE., Gainesville, GA 30501. NorthEast Medical Center, 920 Church Street N., #302E, N/A 02/24/2006 NC ASMBS. Concord, NC 28025. Northwestern Memorial Hospital, 215 E. Huron Street, N/A 02/24/2006 IL Northwestern Medical Faculty Foundation NE, Chicago, IL 60611. ASMBS. Ocala Regional Medical Center, 1431 SW 1st Street, N/A 02/24/2006 FL ASMBS. Ocala, FL 34474. Palms of Pasadena Hospital, 1501 Pasedena Avenue, N/A 02/24/2006 FL ASMBS. St. Petersburg, FL 33707. Orange Coast Memorial Medical Center, 9920 Talbert N/A 02/24/2006 CA ASMBS. Avenue, Fountain Valley, CA 92708. Parkwest Medical Center, 9352 Park West Boulevard, N/A 02/24/2006 TN ASMBS. Knoxville, TN 37923. Penrose-St. Francis Health Services, 825 E. Pikes Peak N/A 02/24/2006 CO ASMBS. Avenue, Colorado Springs, CO 80917. Poudre Valley Hospital, 1024 S. Lemay Avenue, Fort N/A 02/24/2006 CO ASMBS. Collins, CO 80524. Presbyterian-St. Luke’s Medical Center, 1719 E. 19th Av- N/A 02/24/2006 CO ASMBS. enue, Denver, CO 80218. Princeton HealthCare System, 253 Witherspoon Street, N/A 02/24/2006 NJ ASMBS. Princeton, NJ 08540. Roger Williams Medical Center, 825 Chalkstone Avenue, N/A 02/24/2006 RI Drs. Lentrichia & Pohl, Inc. ASMBS. Providence, RI 02908. Rose Medical Center, 4545 E. 9th Avenue, #470, Den- N/A 02/24/2006 CO ASMBS. ver, CO 80220.

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Facility name Provider No. Date approved State Other information

Saint Barnabas Medical Center, 94 Old Short Hills Road, N/A 02/24/2006 NJ ASMBS. Livingston, NJ 07039. Saint Francis Hospital, 5959 Park Avenue, Memphis, TN N/A 02/24/2006 TN ASMBS. 38119. St. Francis Hospital—Franciscan Health System, 34515 N/A 02/24/2006 WA N/A Ninth Avenue S., Federal Way, WA 98003. Saint Joseph East Center for Weight Loss, 160 N. Eagle N/A 02/24/2006 KY ASMBS. Creek Drive, Lexington, KY 40509. Saint Mary’s Regional Medical Center, 234 W. 6th Street, N/A 02/24/2006 NV ASMBS. Reno, NV 89503. Saint Mary’s Hospital, 5801 Bremo Road, Richmond, VA N/A 02/24/2006 VA ASMBS. 23226. Scottsdale Healthcare Shea Campus, 900 E. Shea Bou- N/A 02/24/2006 AZ ASMBS. levard, Scottsdale, AR 85260. Scripps Memorial, 9888 Genesee Avenue, La Jolla, CA N/A 02/24/2006 CA ASMBS. 90237. Scripps Mercy Hospital, 4077 Fifth Avenue, San Diego, N/A 02/24/2006 CA ASMBS. CA 92103. Sentara Careplex Hospital, 3000 Coliseum Drive, Hamp- N/A 02/24/2006 VA ASMBS. ton, VA 23666. Sinai Hospital of Baltimore, 2401 W. Belvedere Avenue, N/A 02/24/2006 MD Sinai Surgical Associates ASMBS. Baltimore, MD 21215. Sisters of Charity Hospital, 2130 Main Street, Buffalo, NY N/A 02/24/2006 NY ASMBS. 14214. Sioux Valley Hospital USD Medical Center, 1305 W. 18th N/A 02/24/2006 SD ASMBS. Street, Sioux Falls, SD 57105. Sound Shore Medical Center of Westchester, 16 Guion N/A 02/24/2006 NY ASMBS. Place, New Rochelle, NY 10801. South Nassau Communities Hospital, 1 Healthy Way, N/A 02/24/2006 NY ASMBS. Oceanside, NY 11572. Southwest Healthcare System, 36485 Inland Valley N/A 02/24/2006 CA ASMBS. Drive, Wildomar, CA 92595. Southwest Medical Center, 2810 Ambassador Caffery N/A 02/24/2006 LA ASMBS. Parkway, Lafayette, LA 70506. Spectrum Health Blodgett Campus, 1840 Wealthy Street, N/A 02/24/2006 MI MMPC Center for Health Excellence SE., Grand Rapids, MI 49506. ASMBS. SSM DePaul Health Center, 12303 DePaul Avenue, N/A 02/24/2006 MO ASMBS. Bridgeton, MO 63044. St. Joseph’s Area Health Services, 600 Pleasant Avenue, N/A 02/24/2006 MN ASMBS. Park Rapids, MN 56470. St. Vincent Charity Hospital, 2322 E. 22nd Street, #220, N/A 02/24/2006 OH ASMBS. Cleveland, OH 44115. Staten Island University Hospital, 475 Seaview Avenue, N/A 02/24/2006 NY ASMBS. Staten Island, NY 10305. Theda Clark Medical Center, 200 Theda Clark Medical 000071445 02/24/2006 WI ACS. Plaza, Suite 410, Neenah, WI 54956. The Ohio State University Hospital, 410 W. 10th Avenue, N/A 02/24/2006 OH ASMBS. Columbus, OH 43210. The Regional Medical Center at Memphis, 877 Jefferson N/A 02/24/2006 TN ASMBS. Avenue, Memphis, TN 38103. Tri-City Regional Medical Center, 21530 Pioneer Boule- N/A 02/24/2006 CA ASMBS. vard, Hawaiian Gardens, CA 90716. United Hospital, 333 North Smith Avenue, Saint Paul, N/A 02/24/2006 MN ASMBS. MN 55102. United Regional Health Care System, 1600 19th Street, N/A 02/24/2006 TX ASMBS. Wichita Falls, TX 76301. Unity Hospital, 550 Osborne Road, NE., Fridley, MN N/A 02/24/2006 MN ASMBS. 55432. University of Chicago Hospitals, 5841 S. Maryland Ave- N/A 02/24/2006 IL University of Chicago Department of Sur- nue, Chicago, IL 60637. gery ASMBS. University of Minnesota Medical Center, Fairview, 2450 24–0080 02/24/2006 MN ASMBS. Riverside Avenue, Minneapolis, MN 55454. UPMC St. Margaret, 815 Freeport Road, Pittsburgh, PA N/A 02/24/2006 PA ASMBS. 15215. UPMC Horizon, 110 North Main Street, Greenville, PA N/A 02/24/2006 PA ASMBS. 16125. Virginia Commonwealth University Medical Center, Rich- N/A 02/24/2006 VA ASMBS. mond, VA 23284. Vanderbilt University Medical Center, 1211 22nd Avenue N/A 02/24/2006 TN ASMBS. S., Nashville, TN 37232. Weight Loss Surgery Program at Baylor, 9101 N. Central N/A 02/24/2006 TX ASMBS. Expressway, Suite 370, Dallas, TX 75231. Wellstar Health Systems, 677 Church Street, NE., Mari- N/A 02/24/2006 GA ASMBS. etta, GA 30060.

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Facility name Provider No. Date approved State Other information

White Plains Hospital Center, 190 E. Post Road, White N/A 02/24/2006 NY ASMBS. Plains, NY 10601. York Hospital, 1001 S. George Street, York, PA 17403 ... N/A 02/24/2006 PA ASMBS. Norman Regional Hospital, 901 North Porter, Box 1308, 370008 03/22/2006 OK ASMBS. Norman, OK 73070. St. Luke’s Medical Center, 1800 E. Van Buren, Suite 030037 03/22/2006 AZ Abdominal Surgeons, Ltd. ASMBS. 307B, Phoenix, AZ 85006. Silver Cross Hospital, 1200 Maple Road, Joliet, IL 60432 140213 03/22/2006 IL Midwest Comprehensive Bariatrics ASMBS. Tampa General Hospital, 2 Columbia Drive, F145, 100128 03/22/2006 FL University of South Florida ASMBS. Tampa, FL 33601. Spartanburg Regional Healthcare System, 101 East 420007 03/27/2006 SC ASMBS. Wood Street, Spartanburg, SC 29303. OSF Saint Francis Medical Center, 530 NE Glen Oak Av- 140067 04/05/2006 IL ASMBS. enue, Peoria, IL 61637. Palmetto Health Baptist, 1850 Laurel Street, Suite 1A, 420086 04/05/2006 SC ASMBS. Columbia, SC 29201. Peconic Bay Medical Center, 1300 Roanoke Avenue, 330107 04/06/2006 NY ASMBS. Riverhead, NY 11901. Desert Springs Hospital, 2075 East Flamingo, Las 290022 04/07/2006 NV ASMBS. Vegas, NV 89119. Palmetto General Hospital, 2001 West 68th Street, Hia- 100187 04/11/2006 FL ASMBS. leah, FL 33016. Hurley Medical Center, One Hurley Plaza, Flint, MI 230132 04/14/2006 MI ACS. 48503–5993. University of California, Davis 2315 Stockton Boulevard, N/A 04/18/2006 CA ASMBS. Sacramento, CA 95817. Russell County Medical, Carroll and Tate Streets, Leb- N/A 04/27/2006 VA ASMBS. anon, VA 24266. Western Pennsylvania Hospital, 4800 Friendship Avenue, 028672 N/A PA ASMBS.–05/01/2006 ACS–10/16/2006 Pittsburgh, PA 15224. Banner Good Samaritan Bariatric Center, 1300 North N/A 05/04/2006 AZ ASMBS. 12th Street, Suite 610, Phoenix, AZ 85006. Bothwell Regional Health Center, 601 East 14th Street, N/A 05/17/2006 MO ASMBS. Sedalia, MO 65301. Durham Regional Hospital, 3643 N. Roxboro Road, Dur- N/A 05/17/2006 NC ASMBS. ham, NC 27704. Fairview Southdale Hospital, 6405 France Avenue Street, N/A 05/17/2006 MN ASMBS. Suite W320, Edina, MN 55435. Cleveland Clinic, 9500 Euclid Avenue (A80), Cleveland, 360180 N/A OH 05/24/2006–ASMBS. 12/01/2006–ACS. OH 44195. St. Agnes Healthcare, 900 Caton Avenue, Baltimore, MD 210011 05/24/2006 MD ASMBS. 21229. Sycamore Hospital, 2150 Leiter Road, Miamisburg, OH 360239 05/24/2006 OH ASMBS. 45342. Albany Medical Center, 47 New Scotland Avenue, Al- 330013 06/02/2006 NY ACS. bany, NY 12208. Georgetown Community Hospital, 1140 Lexington Road, 180101 06/07/2006 KY ASMBS. Georgetown, KY 40324. Fletcher Allen Health Care, 111 Colchester Avenue, Bur- N/A 06/09/2006 VT Hospital: 470003 Group Provider: VN0997 lington, VT 05401. ACS. New York-Presbyterian Hospital/Columbia University 330101 06/14/2006 NY ACS. Medical Center, 622 W. 168th Street, New York, NY 10032. Providence Memorial Hospital, 2001 North Oregon 450668 06/15/2006 TX ASMBS. Street, El Paso, TX 79902. UT Southwestern University Hospitals-Zale Lipshy, 5909 450766 06/19/2006 TX ASMBS. Harry Hines Boulevard, Dallas, TX 75390. Cedars-Sinai Medical Center, 8700 Beverly Boulevard, N/A 06/20/2006 CA Thalians-2W ACS. Los Angeles, CA 90048. Community Medical Center-Clovis, 2755 Herndon Ave- 050492 N/A CA ACS–06/26/2006 ASMBS–12/07/2006. nue, Clovis, CA 93611. Oregon Health & Science University, 3181 SW Sam See other 06/27/2006 OR OHSU Medical Group-107708 OHSU Hos- Jackson Park Road L223A, Portland, OR 97239. information pital-380009 ACS. Hospital of the University of Pennsylvania, 3400 Spruce N/A 07/06/2006 PA ASMBS. Street, 4 Silverstein, Philadelphia, PA 19104. Swedish Medical Center, 501 East Hampden Avenue, 060034 07/06/2006 CO ASMBS. Englewood, CO 80113. Blount Memorial Hospital, 907 East Lamar Alexander 440011 07/11/2006 TN ASMBS. Parkway, Maryville, TN 37801. University of Virginia Health System, PO Box 800809, 490009 07/12/2006 VA ACS. Charlottesville, VA 22908–0809. Sewickley Valley Hospital, 720 Blackburn Road, 390037 07/13/2006 PA ASMBS. Sewickley, PA 15143.

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Facility name Provider No. Date approved State Other information

The Christ Hospital, 2139 Auburn Avenue, Cincinnati, OH 360163 07/17/2006 OH ASMBS. 45219. Cabell Huntington Hospital, 1340 Hal Greer Boulevard, 510055 07/19/2006 WV ASMBS. Huntington, WV 25701. Mount Sinai Hospital, One Gustave L. Levy Place 1190 330024 07/25/2006 NY ASMBS. 5th Avenue, New York, NY 10029. UMass Memorial Medical Center-Memorial Campus, 119 A22819 07/27/2006 MA ACS. Belmont Street, Worcester, MA, 01605. Henry Ford Hospital, 2799 West Grand Boulevard, De- N/A 07/31/2006 MI ASMMBS troit, MI 48202. Vista Surgical Hospital, 9094 Perkins Road, Suite B, 230053 07/31/2006 LA ASMBS. Baton Rouge, LA 70810. Town & Country Hospital, 6001 Webb Road, Tampa, FL 100255 08/02/2006 FL ASMBS. 33615. New York-Presbyterian Hospital/Weill Cornell Medical 330101 08/04/2006 NY ACS. Center, 630 West 168th Street, New York, NY 10032. Centinela Freeman Regional Medical Center, 4650 Lin- 050741 08/07/2006 CA ASMBS. coln Boulevard, Marin del Rey, CA 90292. NYU Medical Center, 560 First Avenue, New York, NY 330214 08/08/2006 NY ASMBS. 10016. Regional West Medical Center, 4021 Avenue B, 280061 08/08/2006 NE ASMBS. Scottsbluff, NE 69361. Mercy Medical Center, 1000 North Village Avenue, Rock- N/A 08/10/2006 NY ASMBS. ville Centre, NY 11570. Brigham and Women’s Hospital, 75 Francis Street, Bos- M20830 08/14/2006 MA ACS. ton, MA 02115–6195. Highland Hospital, 1000 South Avenue, Rochester, NY 330164 08/30/2006 NY ACS. 14620. Inova Fair Oaks Hospital, 3600 Joseph Siewick Drive, 490101 08/31/2006 VA ASMBS. Fairfax, VA 22033. Our Lady of Lourdes Medical Center, 1600 Haddon Ave- 613039 08/31/2006 NJ ASMBS. nue, Camden, NJ 08104. FirstHealth Moore Regional Hospital, 155 Memorial 340115 09/01/2006 NC ASMBS. Drive, Pinehurst, NC 27374. Hamot Medical Center, 201 State Street, Erie, PA 16550 390063 09/01/2006 PA ASMBS. St. Alexius Hospital—NewStart, 3933 South Broadway 260210 09/01/2006 MO ASMBS. Street, St. Louis, MO 63118. St. Catherine of Siena Medical Center, 50 Route 25A, 316495 09/01/2006 NY ASMBS. Smithtown, NY 11787. Barnes Jewish Hospital, One Barnes-Jewish Hospital 260032 09/06/2006 MO ASMBS. Plaza, St. Louis, MO 63110. Baptist Memorial Hospital Memphis, 6025 Walnut Grove 440048 09/07/2006 TN ASMBS. Road, Memphis, TN 38120. Norwalk Hospital, 24 Stevens Street, Norwalk, CT 06856 070034 09/07/2006 CT ASMBS. North Shore University Hospital at Manhasset, 300 Com- 330106 09/08/2006 NY ASMBS. munity Drive, Manhasset, NY 11530. St. Vincent’s Medical Center, 2800 Main Street, Bridge- 070028 09/08/2006 CT Level 3-Department of Surgery ASMBS. port, CT 06606. Faxton-St. Luke’s Healthcare, 1656 Champlin Avenue, 330044 09/14/2006 NY ASMBS. Utica, NY 13503. St. Joseph’s Hospital, 69 West Exchange, St. Paul, MN N/A 09/14/2006 MN ASMBS. 55102. Johns Hopkins Bayview Medical Center, 4940 Eastern 210029 09/15/2006 MD ASMBS. Avenue, Baltimore, MD 21224. University Hospitals of Cleveland, 11100 Euclid Avenue, N/A 09/15/2006 OH ASMBS. Cleveland, OH 44106. Yale-New Haven Hospital, 20 York Street, New Haven, 070022 09/20/2006 CT ASMBS. CT 06510. Avera McKennan Hospital, 800 East 21st Street, Box 430016 09/25/2006 SD ASMBS. 5045, Sioux Falls, SD 57117–5045. Memorial Hospital Jacksonville, 3625 University Boule- 100179 09/26/2006 FL ASMBS. vard South, Jacksonville, FL 32216. Fountain Valley Regional Hospital, 17100 Euclid Street, 050570 09/27/2006 CA ASMBS. Fountain Valley, CA 92708. Sentara Norfolk General Hospital, 600 Gresham Drive, 4900073 09/29/2006 VA ACS. Norfolk, VA 23507. St. Mary’s Medical Center, 450 Stanyan Street, San 050457 10/02/2006 CA ASMBS. Francisco, CA 94117. Trinity Medical Center, 800 Montclair Road, Birmingham, 010104 10/03/2006 AL ASMBS. AL 35213. MeritCare Health System, 720 4th Street North, Fargo, 350011 10/11/2006 ND ASMBS. ND 58122. St. Lukes’s/Roosevelt, 1090 Amsterdam Avenue, New 330046 10/11/2006 NY 10th Floor ACS. York, NY 10025.

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Facility name Provider No. Date approved State Other information

Benefis Healthcare, 1101 26th Street South, Great Falls, 270012 10/13/2006 MT ASMBS. MT 59405. Mason General Hospital, 901 Mountain View Drive, 501336 10/13/2006 WA ASMBS. Shelton, WA 98584. Norton Hospital, 200 East Chestnut, Louisville, KY 40202 180088 10/16/2006 KY ASMBS. Port Huron Hospital, 1221 Pine Grove Avenue, Port 230216 10/16/2006 MI ASMBS. Huron, MI 48060. Harper University Hospital, 3990 John R. Street, Detroit, 230104 10/17/2006 MI ASMBS. MI 48201. St. Luke Hospital, 7380 Turfway Road, Florence, KY 180045 10/18/2006 KY ASMBS. 41042. Twelve Oaks Medical Center Hospital, 4200 Twelve N/A 10/18/2006 TX ASMBS. Oaks Drive, Houston, TX 77027. Cleveland Clinic Florida, 3100 Weston Road, Weston, FL 100289 10/19/2006 FL ACS. 33331–3602. Grinnell Regional Medical Center, 210 Fourth Avenue, N/A 10/19/2006 IA Provider Numbers: Hospital: 160147, Sur- Grinnell, IA 50112. gical Group: 03108 ACS. Conway Medical Services, 300 Singleton Ridge Road, 420049 10/20/2006 SC ASMBS. Conway, SC 29528. Alta Bates Medical Center, 350 Hawthorne Avenue, Oak- 050043 10/23/2006 CA ASMBS. land, CA 94609. Massachusetts General Hospital, 55 Fruit Street, Boston, 220071 10/23/2006 MA ACS. MA 02114–2696. Mayo Clinic-Saint Mary’s Hospital, 200 First Street SW., N/A 10/23/2006 MN SMH: 24–0010 Part B General Medical: Rochester, MN 55905. C01384 ACS. Saint Francis Hospital, 6465 South Yale Avenue, #900, 372308 10/23/2006 OK ACS. Tulsa, OK 74136. Newton-Wellesley Hospital, 2014 Washington Street, 220101 10/26/2006 MA ACS. Newton, MA 02462. Mobile Infirmary Medical Center, 5 Mobile Infirmary Cir- 010113 10/27/2006 AL ASMBS. cle, Mobile, AL 36007. Maine Medical Center, 22 Bramhall Street, Portland, ME 200009 11/06/2006 ME ASMBS. 04102. Magee Womens Hospital of UPMC, 3000 Halket Street, 390114 11/13/2006 PA ASMBS. Pittsburgh, PA 15213. Saint Francis Hospital and Medical Center, 114 Wood- 070002 11/15/2006 CT ASMBS. land Street, Hartford, CT 06105. South Jersey Healthcare-Regional Medical Center, 1505 310032 11/20/2006 NJ ASMBS. West Sherman Avenue, Vineland, NJ 08360. Overlook Hospital, 99 Beauvoir Avenue, Summit, NJ 310051 11/21/2006 NJ Nursing Administration Office ASMBS. 07902. Cedars Medical Center, 1400 Northwest 12th Avenue, 100009 11/23/2006 FL ASMBS. Miami, FL 33136. Memorial Hermann Memorial City Hospital, 921 Gessner 450610 11/27/2006 TX ASMBS. Road, Houston, TX 77024. Tufts-New England Medical Center, 750 Washington 220116 11/27/2006 MA ASMBS. Street, Boston, MA 02111. Allegheny General Hospital, 320 East North Avenue, 390050 11/30/2006 PA Fifth Floor, South Tower ASMBS. Pittsburgh, PA 15212. Northwest Medical Center, 2801 North State Road 7, 100189 11/30/2006 FL ASMBS. Margate, FL 33063. Potomac Hospital, 2300 Opitz Boulevard, Woodbridge, 490113 11/30/2006 VA ASMBS. VA 22191. Baptist Health Medical Center—Little Rock, 9601 I–630, 040114 12/01/2006 AR ASMBS. Exit 7, Little Rock, AR 72205. University of Washington Medical Center, 1959 NE Pa- 1326002049 12/05/2006 WA ACS. cific Street, PO Box 356151, Seattle, WA 98195–6151. St. Luke’s Regional Medical Center, 333 North 1st Street, 130006 12/06/2006 ID ASMBS. Suite 120, Boise, ID 83702. University of Alabama at Birmingham Hospital, 1530 3rd 010033 12/07/2006 AL ACS. Avenue South, Kracke Building 404, Birmingham, AL 35294–0016. Hackensack University Medical Center, 30 Prospect Ave- 310001 12/08/2006 NJ ACS. nue, Hackensack, NJ 07601. Hialeah Hospital, 651 East 25th Street, Hialeah, FL 100053 12/13/2006 FL ASMBS. 33013. Sts. Mary and Elizabeth Hospital, 1850 Bluegrass Ave- 180040 12/15/2006 KY Bariatric Office ASMBS. nue, Louisville, KY 40215. Bon Secours Surgical Weight Loss-Maryview Medical 490017 12/18/2006 VA ASMBS. Center, 3636 High Street, Portsmouth, VA 23707. Pomerado Hospital, 15615 Pomerado Road, Poway, CA 050636 12/18/2006 CA ASMBS. 92064. Boston Medical Center, 88 E. Newton Street, D507-De- 220031 12/19/2006 MA ACS. partment of Surgery, Boston, MA 02118.

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Facility name Provider No. Date approved State Other information

Medcenter One, Inc., 300 North 7th Street, Bismarck, ND 350015 12/19/2006 ND ASMBS. 58501. Meriter Hospital, 202 South Park Street, Madison, WI 520089 12/19/2006 WI ASMBS. 53715. University of Wisconsin Hospital & Clinics, 600 Highland 520098 12/19/2006 WI ASMBS. Avenue, Madison, WI 53792. Women and Children’s Hospital, 4200 Nelson Road, 190201 12/19/2006 LA ASMBS. Lake Charles, LA 70605. Mount Carmel West Hospital, 793 West State Street, Co- 360035 12/20/2006 OH ASMBS. lumbus, OH 43222. Southcoast Hospitals Group-Tobey Hospital, 43 High 220074 12/21/2006 MA ASMBS. Street, Wareham, MA 02571. Carilion Roanoke Memorial Hospital, 1906 Belleview Av- N/A 12/26/2006 VA ASMBS. enue, Roanoke, VA 24014. Mercy General Health Partners, 1500 Sherman Boule- 230004 12/26/2006 MI ASMBS. vard, Muskegon, MI 49444. Mountainside Hospital, 1 Bay Avenue, Montclair, NJ 310054 12/26/2006 NJ ASMBS. 07042. Park Plaza Hospital, 1313 Hermann Drive, Houston, TX 450659 01/09/2007 TX ASMBS. 77004. Renaissance Hospital Houston, 2807 Little York, Hous- 450795 01/12/2007 TX ASMBS. ton, TX 77093. Penn State Milton S. Hershey Medical Center, 500 Uni- 390256 01/18/2007 PA ASMBS. versity Drive, Hershey, PA 17033. Shawnee Mission Medical Center, 9100 West 74th 170104 01/24/2007 KS ASMBS. Street, Shawnee Mission, KS 66204. Morristown Memorial Hospital, 100 Madison Avenue, 31–0015 01/25/2007 NJ ACS. Morristown, NJ 07962. Alvarado Hospital, 6655 Alvarado Road, San Diego, CA 050583 01/26/2007 CA Alvarado Surgical Weight-Loss Program 92120. ASMBS. St. Francis Hospital, 7th and Clayton Streets, Wilmington, 080003 01/29/2007 DE ASMBS. DE 19805. Sacred Heart Medical Center, 101 West 8th Avenue, 500054 02/05/2007 WA ASMBS. Spokane, WA 99220. Ochsner Clinic Foundation, 1514 Jefferson Highway, 190036 02/06/2007 LA ASMBS. New Orleans, LA 70121. Northwest Specialty Hospital, 1593 East Polston Avenue, 130066 02/07/2007 ID ASMBS. Post Falls, ID 83854. Sacred Heart Hospital, 421 Chew Street, Allentown, PA 390197 02/07/2007 PA ASMBS. 18102. Rio Grande Regional Hospital, 101 East Ridge Road, 450711 02/12/2007 TX ASMBS. McAllen, TX 78503. Gundersen Lutheran Medical Center, 1900 South Ave- 520087 02/13/2007 WI ASMBS. nue, La Crosse, WI 54601. Kettering Medical Center, 3535 Southern Boulevard, Ket- 360079 02/16/2007 OH ASMBS. tering, OH 45429. Beth Israel Deaconess Medical Center, 330 Brookline N/A 02/17/2006 MA ACS. Avenue, Boston, MA 02215. Shady Grove Adventist Hospital, 9901 Medical Center 210057 02/19/2007 MD ASMBS. Drive, Rockville, MD 20850. Pitt County Memorial Hospital, 2100 Stantonsburg Road, 340040 02/20/2007 NC ASMBS. Greenville, NC 27835. St. Cloud Hospital, 1406 Sixth Avenue, North, St. Cloud, 240036 02/23/2007 MN ASMBS. MN 56303. Virginia Mason Medical Center, 1100 Ninth Avenue, Se- 500005 03/01/2007 WA ASMBS. attle, WA 98101. Southeast Georgia Health System, 2415 Parkwood Drive, 110025 03/06/2007 GA ASMBS. Brunswick, GA 31520. Baystate Medical Center, 759 Chestnut Street, Spring- 220077 03/13/2007 MA ACS. field, MA 01199. PinnacleHealth Community Campus, 4300 Londonderry 390067 03/29/2007 PA ASMBS. Road, c/o PO Box 8700, Harrisburg, PA 17109. The Valley Hospital, 223 North Van Dien Avenue, Ridge- 310012 03//2007 NJ ASMBS. wood, NJ 07450. Charleston Area Medical Center, 800 Pennsylvania Ave- 510022 04/16/2007 WV ASMBS. nue, Charleston, WV 25302. Presbyterian Hospital of Dallas, 8200 Walnut Hill Lane, 450462 04/16/2007 TX ASMBS. Dallas, TX 75231. Dekalb Medical Center, 2701 North Decatur Road, Deca- 110076 04/26/2007 GA ASMBS. tur, GA 30033. St. Francis Health Center, 1700 SW 7th Street, Topeka, 170016 04/26/2007 KS ASMBS. KS 66606. St. Mark’s Hospital, 1200 East 3900 South, Salt Lake 47007 04/26/2007 UT ASMBS. City, UT 84124.

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Facility name Provider No. Date approved State Other information

George Washington University Hospital, 9000 23rd Street 090001 08/14/2006 DC ASMBS. NW., Washington, DC 20037. William Beaumont Hospital—Royal Oak, 3601 West Thir- 230130 04/20/2007 MI ACS. teen Mile Road, Royal Oak, MI 48073–6769. University Medical Center at Princeton, 253 Witherspoon N/A 02/24/2006 NJ ASMBS. Street, Princeton, NJ 08542. Winchester Hospital, 41 Highland Avenue, Winchester, 220105 05/31/2007 MA ASMBS. MA 01890. Lawrence Memorial Hospital—Hallmark Health System, 220070 05/31/2007 MA ASMBS. 170 Governors Avenue, Medford, MA 02155. The Methodist Hospital, 6565 Fannin, NB1–001, Hous- 450358 03/22/2007 TX ACS. ton, TX 77030. ValleyCare Health System, 1111 East Stanley Boulevard, 050283 06/07/2007 CA ASMBS. Livermore, CA 94550. The Presbyterian Hospital, 200 Hawthorne Lane, Char- 340053 06/06/2007 NC ASMBS. lotte, NC 28204. Nix Hospital, 414 Navarro Street, San Antonio, TX 78205 450130 06/08/2007 TX ASMBS. Huntsville Hospital, 101 Sivley Road, Huntsville, AL 010039 05/11/2007 AL ASMBS. 35801. The Jewish Hospital, 4777 Galbraith Road, Cincinnati, 360016 06/07/2007 OH ASMBS. OH 45236. UCI Medical Center, 101 The City Drive South, Orange, 050348 05/25/2007 CA ACS. CA 92868. Kaiser Permanente Medical Center, Richmond, 901 050075 05/24/2007 CA ACS. Nevin Avenue, Richmond, CA 94801. Green Hospital, 12395 El Camino Real, San Diego, CA 050424 06/21/2007 CA ASMBS. 92130. Sutter Roseville Medical Center, One Medical Plaza, 050309 06/22/2007 CA ASMBS. Roseville, CA 95661. Munroe Regional Medical Center, 1500 Southwest 1st 100062 06/05/2007 FL ASMBS. Avenue, Ocala, FL 34471. Enloe Medical Center, 251 Cohasset Road, Chico, CA 050039 06/11/2007 CA ASMBS. 95926. St. Francis Hospital & Health Centers, 1600 Albany 150033 06/15/2007 IN ASMBS. Street, Beech Grove, IN 46107. Southern Surgical Hospital, 1700 West Lindberg Drive, 190270 06/21/2007 LA ASMBS. Slidell, LA 70458. Creighton University Medical Center, 601 North 30th 280030 06/20/2007 NE ASMBS. Street, Omaha, NE 68131. Peninsula Regional Medical Center, 100 East Carroll 210019 06/20/2007 MD ASMBS. Street, Salisbury, MD 21801. Wadley Regional Medical Center, 1000 Pine Street, Tex- 450200 06/08/2007 TX ASMBS. arkana, TX 75501. Vista Medical Center Hospital, 4301 Vista Road, Pasa- 450831 06/22/2007 TX ASMBS. dena, TX 77504. St. David’s Medical Center, 919 East 32nd Street, Austin, 450531 06/22/2007 TX ASMBS. TX 78705. Sanford USD Medical Center, 1305 West 18th Street, 430027 01/17/2006 SD ASMBS. Sioux Falls, SD 57117. Weight Loss Surgery Program at Baylor, 3600 Gaston N/A 06/20/2007 TX ASMBS. Avenue, Suite 360 Wadley Tower, Dallas, TX 75246. Shelby Baptist Medical Center, 1000 First Street N., Ala- 010016 05/18/2007 AL ACS. baster, AL 35007. Lehigh Valley Hospital and Health Network, Cedar Crest 390133 05/29/2007 PA ACS. & I–78, PO Box 689, Allentown, PA 18105–1556. West Hills Hospital, 7300 Medical Center Drive, West 050481 06/27/2007 CA ASMBS. Hills, CA 91307. Adirondack Medical Center, 2233 State Route 86, 330079 06/26/2007 NY ASMBS. Saranack Lake, NY 12983. Middletown Regional Hospital, 105 McKnight Drive, Mid- 360076 06/25/2007 OH ASMBS. dletown, OH 45044. Kaleida Health, Buffalo General, 100 High Street, Buffalo, 300005 06/25/2007 NY ASMBS. NY 14203. Miami Valley Hospital, One Wyoming Street, Dayton, OH N/A 06/25/2007 OH ASMBS. 45409. Minimally Invasive Surgery Hospital, 11217 Lakeview Av- N/A 06/25/2007 KS ASMBS. enue, Lenexa, KS 66219. Saint Agnes Medical Center, 1303 E. Herndon Avenue, 05–0093 07/24/2007 CA ASMBS. Fresno, CA 93720. Sartori Memorial Hospital, 515 College Street, Cedar 160040 07/17/2007 IA ASMBS. Falls, IA 50613. Maimonides Medical Center, 948 48th Street, 2nd floor, 33–0194 07/10/2007 NY ASMBS. Brooklyn, NY 11219.

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Facility name Provider No. Date approved State Other information

Westchester Medical Center, 95 Grasslands Road, Val- 330234 07/17/2007 NY ASMBS. halla, NY 10595. Deaconess Hospital, 311 Straight Street, Cincinnati, OH 36–0038 07/17/2007 OH ASMBS. 45219. Northern Ohio Bariatric Center at Parma Hospital, 6305 360041 07/10/2007 OH ASMBS. Powers Boulevard, Parma, OH 44129. Einstein at Elkins Park, 60 E. Township Line Road, Elk- 390142 07/10/2007 PA ASMBS. ins Park, PA 19027. Lahey Clinic Medical Center, 41 Mall Road, Burlington, 220171 06/22/2007 MA ACS. MA 01805. St. Francis Hospital, 34515 Ninth Ave South, Federal 500141 07/26/2007 WA ACS. Way, WA 98003. California Foundation for Health, 1401 Garces Highway, 050608 07/10/2007 CA d.b.a. Delano Regional Medical Center; Delano, CA 93215. ASMBS. Northeast Alabama Regional Medical Center, 400 East 010078 07/30/2007 AL ASMBS. 10th Street, Anniston, AL 36207. Trinity Medical Center, 4343 N. Josey Lane, Carrollton, 45–0730 07/30/2007 TX ASMBS. TX 75010. Gratiot Medical Center, 300 E. Warwick Drive, Alma, MI 23–0030 07/30/2007 MI ASMBS. 48801. Cuyuna Regional Medical Center, 320 East Main Street, 241353 08/20/2007 MN ASMBS. Crosby, MN 56441. Valley Medical Center, 400 South 43rd Street, Renton, 500088 07/30/2007 WA ASMBS. WA 98055. Renaissance Hospital Dallas, 427 W. 20th Street, Suite 670002 08/08/2007 TX ASMBS. 300, Houston, TX 77008. UPMC Presbyterian Shadyside, 5230 Centre Avenue, 39–0114 08/20/2007 PA ASMBS. Pittsburgh, PA 15232. Clarian North Medical Center, 6625 Network Way, Suite 15–0161 08/20/2007 IN ASMBS. 100, Indianapolis, IN 46202. Genesis Medical Center, 1227 East Rusholme Street, 160033 08/08/2007 IA ASMBS. Davenport, IA 52803. University General Hospital, 7501 Fannin Street, Hous- 670019 08/08/2007 TX ASMBS. ton, TX 77054. Ellis Hospital, 1101 Nott Street, Schenectaday, NY 12308 330153 06/19/2007 NY ASMBS. University of Texas Medical Branch, 301 University Bou- 450018 08/16/2007 TX ACS. levard, Galveston, TX 77555–1168. Christiana Care Health Services, 4755 Ogletown—Stan- 080001 08/29/2007 DE ASMBS. ton Road, Newark, DE 19718. Stanford Hospital and Clinics, 300 Pasteur Drive, Stan- 050441 09/13/2007 CA ACS. ford, CA 94305. Summa Health Systems Hospital, 95 Arch Street, Suite 360020 09/21/2007 OH ASMBS. 240, Akron, OH 44304. Memorial Regional Hospital, 3500 Johnson Street, Holly- 100038 09/11/2007 FL ASMBS. wood, FL 33021. Temple University Hospital, 3401 North Broad Street, 390027 09/21/2007 PA ASMBS. Philadelphia, PA 19140. Good Samaritan Hospital, 2425 Samaritan Drive, San 50380 09/21/2007 CA ASMBS. Jose, CA 95124. Johnson City Medical Center, 400 North State of Franklin HSP440063 09/27/2007 TN ASMBS. Road, Johnson City, TN 37604. Providence Saint Joseph Medical Center, 201 South 50235 N/A CA ASMBS—09/17/2007; ACS—09-05/2007. Buena Vista Street, Suite 425, Burbank, CA 91505. Baptist Bariatric Center of Excellence, 1000 West 10–0093 09/27/2007 FL ASMBS. Moreno Street, Pensacola, FL 32501.

Addendum XVI—FDG–PET for emission tomography (FDG–PET) for only in the context of an approved Dementia and Neurodegenerative Dementia and Neurodegenerative clinical trial that contains patient Diseases Clinical Trials Diseases (220.6.13) we indicated that an safeguards and protections to ensure FDG–PET scan is considered reasonable proper administration, use, and In a National Coverage Determination and necessary in patients with mild evaluation of the FDG–PET scan. for fluorodeoxyglucose positron cognitive impairment or early dementia

Provider Date ap- Facility name number proved State Name of trial Principal investigator

UCLA Medical Center, 10833 Le Conte Avenue, HW13029 06/07/2006 CA Early and Long-Term Dr. Daniel Silverman. Los Angeles, CA 90095. Value of Imaging Brain Metabolism. Santa Monica–UCLA Medical Center, 1245 16th W11817A 01/12/2007 CA N/A...... N/A. Street, Suite 105, Santa Monica, CA 90404.

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Provider Date ap- Facility name number proved State Name of trial Principal investigator

University of Buffalo 3435 Main Street, Buffalo, 14414A 03/12/2007 NY Metabolic Cerebral Im- Dr. Daniel Silverman. NY 14214. aging in Incipient De- mentia (MCI–ID).

[FR Doc. E7–24489 Filed 12–27–07; 8:45 am] BILLING CODE 4120–01–P

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