Freestanding Medical Centers

Transcription

1 Your Choice A Tiered Provider Network Option Freestanding Medical Centers Welcome to the Your Choice Plan a Tiered Provider Network Option. The following is a list of our Your Choice Tiered Provider Network Freestanding Medical Centers for high-tech imaging, day surgery, and diagnostic lab services. You will generally pay a lower copayment when you use non-hospital, often called freestanding, centers for these services. Shields MRI at Cape Cod Hospital and Shields MRI Wellesley are not Tier 1 facilities. Please note, the services at these locations will be subject to the highest level copay applicable. Tiered Provider Network: This plan includes the Tiered Provider Network called Your Choice. In this plan you may pay different levels of copayments, coinsurance, and/or deductibles depending on your plan design and the tier of the provider delivering a covered service or supply. This plan may make changes to a provider s benefit tier annually. Please consult the Your Choice provider directory or visit the provider search tool at tuftshealthplan.com and click on Find a Doctor to determine the tier of providers in the Your Choice Tiered Provider Network. If you need a paper copy of the provider directory, please contact Member Services. Freestanding High-Tech Imaging Centers SERVICES ADVANCED RADIOLOGY, INC 100 SMITHFIELD AVE PAWTUCKET RI (401) CT, MRI 1002 WATERMAN AVE EAST PROVIDENCE RI (401) CT, MRI 101 AIRPORT RD WESTERLY RI (401) CT, MRI 148 WEST RIVER RD PROVIDENCE RI (401) CT, MRI 335 CENTERVILLE RD WARWICK RI (401) CT, MRI 501 GREAT RD, STE 203 NORTH SMITHFIELD RI (401) CT, MRI 525 BROAD ST, STE 202 CUMBERLAND RI (401) CT, MRI AURORA BREAST MRI OF CENTRAL M 67 BELMONT ST WORCESTER MA (508) MRI AURORA IMAGING CORP. 165 WORCESTER ST WELLESLEY MA (800) MRI BAYSTATE MRI AND IMAGING CTR 85 SOUTH ST WARE MA (413) MRI BRISTOL COUNTY OPEN MRI SERVI 1182 HOPE ST BRISTOL RI (401) MRI CENTRAL MASS MAGNETIC IMAGING 367 PLANTATION ST WORCESTER MA (508) MRI 55 LAKE AVE NORTH, STE H1-713 WORCESTER MA (508) MRI

2 Freestanding High-Tech Imaging Centers SERVICES CHARLES RIVER MEDICAL ASSOC 246 MAPLE ST MARLBORO MA (508) CT 600 WORCESTER RD, STE 303 FRAMINGHAM MA (508) CT 246 MAPLE AVE MARLBORO MA (508) CT 571 UNION AVE, STE 202 FRAMINGHAM MA (508) CT 67 UNION ST NATICK MA (508) CT CHELSEA MRI PC 1 ORTHOPEDIC DR DBA THE MRI CENTER OF PEABODY ONE PARKWAY DBA THE MRI CENTER OF HAVERHIL GREATER SPRINGFIELD MRI LP 271 CAREW ST MERCY HOSPITAL IMAGING CONSULTANTS INC 114 WHITWELL ST QUINCY MEDICAL CENTER 200 GROTON RD NASHOBA VALLEY MEDICAL CENTER 100 SOUTH ST HARRINGTON HOSPITAL 123 SUMMER ST- WORCESTER MED CT ST VINCENT S HOSPITAL 211 PARK ST STURDY MEMORIAL HOSPITAL 242 GREEN ST HEYWOOD HOSPITAL 246 EAST MAIN ST ALLIANCE MRI NORTON 271 CAREW ST MERCY HOSPITAL 275 SANDWICH ST JORDAN HOSPITAL 680 CENTRE ST BROCKTON HOSPITAL 800 FALMOUTH RD SOMERFIELD PAR UNIT 109 CAPE CODE PET/CT IMAG PEABODY MA (978) MRI HAVERHILL MA (978) MRI SPRINGFIELD MA (800) MRI QUINCY MA (866) MRI, PET, CT AYER MA (866) MRI, PET, CT SOUTHBRIDGE MA MRI, PET, CT WORCESTER MA MRI, PET, CT ATTLEBORO MA (866) MRI, PET, CT GARDNER MA (866) MRI, PET, CT NORTON MA MRI, PET, CT SPRINGFIELD MA (866) MRI, PET, CT PLYMOUTH MA (866) MRI, PET, CT BROCKTON MA (866) MRI, PET, CT MASHPEE MA (866) MRI, PET, CT 41 MONTVALE AVE 100 STONEHAM MA (866) MRI, PET, CT

3 Freestanding High-Tech Imaging Centers SERVICES INMED DIAGNOSTIC SERVICES 434 ROUTE 134, UNIT C-2 SOUTH DENNIS MA (803) MRI, PET, CT 59 LONGWATER DR NORWELL MA (803) MRI, PET, CT 2 TECHNOLOGY PARK DR, #B BOURNE MA (803) MRI, PET, CT 2 TECHNOLOGY PARK DR, STE B BOURNE MA (508) MRI, PET, CT 3 WOODLAND RD, STE 217 STONEHAM MA (781) MRI, PET, CT 434 RTE 134, UNIT C-2 SOUTH DENNIS MA (508) MRI, PET, CT 59 LONGWATER DR NORWELL MA (781) MRI, PET, CT LONGWOOD MRI SPECIALISTS INC 637 WASHINGTON STREET BROOKLINE MA (617) MRI MASSACHUSETTS MOBILE PET, PC 140 LINCOLN AVE MERRIMACK VALLEY HOSPITAL MASSACHUSETTS MOBILE PET, PC HAVERHILL MA (978) PET 25 HIGHLAND AVE NEWBURYPORT MA (978) PET MERRIMACK VALLEY HEALTH SERVIC 100 ANDOVER BYPASS MVHS PET/CT IMAGING 100 ANDOVER BYPASS MVHS MRI IN NORTH ANDOVER NORTH ANDOVER MA (800) MRI NORTH ANDOVER MA (800) MRI 21 HIGHLAND AVE NEWBURYPORT MA (978) MRI ONE GENERAL ST LAWRENCE GENERAL HOSPITAL 1 HOSPITAL DR SAINTS MEMORIAL MEDICAL CENTER LAWRENCE MA (978) MRI LOWELL MA (800) MRI 100 ANDOVER BYPASS NORTH ANDOVER MA (978) MRI 25 HIGHLAND AVE NEWBURYPORT MA (978) MRI MERRIMACK VALLEY PET, PC 70 EAST ST DBA NE PET IMAGING SYSTEM METROWEST MRI METHUEN MA (978) PET 761 WORCESTER ROAD FRAMINGHAM MA (508) MRI MRI OF CHELMSFORD 1 ORTHOPEDICS DR PEABODY MA (978) MRI 1 PARK WAY DBA MRI OF CHELMSFORD 187 BILLERICA RD DBA MRI OF CHELMSFORD 200 PROVIDENCE HWY STE 210 DBA MRI OF CHELMSFORD 265 BENTON ST DBA MRI OF CHELMSFORD HAVERHILL MA (978) MRI CHELMSFORD MA (978) MRI DEDHAM MA (781) MRI EAST LONGWEADOW MA (978) MRI 3640 MAIN ST, STE 101 SPRINGFIELD MA (978) MRI 800 WEST CUMMINGS PARK, STE 1150 WOBURN MA (781) MRI

4 Freestanding High-Tech Imaging Centers SERVICES NE PET IMAGING SYSTESM 185 QUEEN CITY AVE DBA NE PET IMAGING SYSTEM MANCHESTER NH (978) PET 31 STILES RD SALEM NH (603) PET NE PET OF GREATER LOWELL 295 VARNUM AVE STE 200 DBA NE PET OF GREATER LOWELL NEW ENGLAND MOLECULAR IMAGING LOWELL MA (978) PET 6 TSIENNTO ROAD DERRY NH (603) MRI, CT NORTH SHORE PET IMAGING CENTER 85 HERRICK ST BEVERLY MA (978) PET OPEN MRI OF NEW ENGLAND, INC 1002 WATERMAN AVE EAST PROVIDENCE RI (401) MRI 101 AIRPORT RD WESTERLY RI (401) MRI 148 WEST RIVER ST PROVIDENCE RI (401) MRI 335 CENTERVILLE RD WARWICK RI (401) MRI 501 GREAT RD NORTH SMITHFIELD RI (401) MRI 525 BROAD ST CUMBERLAND RI (401) MRI PET/CT SERVICES AT BERKSHIRE H 725 NORTH ST PITTSFIELD MA (866) PET PET-CT SERVICES BY TUFTS MEDIC 800 WASHINGTON ST BOSTON MA (866) PET 14 COCHITUATE RD, STE 1A FRAMINGHAM MA (866) PET RHODE ISLAND MEDICAL IMAGING 101 DUDLEY ST WOMEN & INFANT HOSPITAL PROVIDENCE RI MRI 1351 SOUTH COUNTY TRAIL EAST GREENWICH RI (401) MRI 1525 WAMPANOAG TRAIL BARRINGTON MEDICAL CENTER 333 SCHOOL ST BLACKSTONE VALLEY MED CENTER 6 BLACKSTONE VALLEY PL STE 506, 515 EAST PROVIDENCE RI (401) MRI PAWTUCKET RI (401) MRI LINCOLN RI (401) MRI 690 EDDY ST PROVIDENCE RI (401) MRI 851 MAIN ST WARREN MEDICAL CENTER 900 WARREN AVE STE 100 COASTAL MEDICAL IMAGING ONE RANDALL SQ MOSHASSUCK MEDICAL BUILDING WARREN RI (401) MRI EAST PROVIDENCE RI (401) MRI PROVIDENCE RI (401) MRI

5 Freestanding High-Tech Imaging Centers SERVICES RHODE ISLAND PET SERVICES, LLC 100 KENYON AVE SOUTH COUNTY HOSP HEALTHCARE S 115 CASS AVE LANDMARK MEDICAL CENTER 200 HIGH SERVICE AVE ST JOSEPH S HEALTH SVCS OF RI 25 WELLS ST WESTERLY HOSPITAL 455 TOLLGATE RD KENT COUNTY MEMORIAL HOSPITAL WAKEFIELD RI (800) PET WOONSOCKET RI (866) PET N PROVIDENCE RI (800) PET WESTERLY RI (866) PET WARWICK RI (800) PET 555 PROSPECT ST PAWTUCKET RI (800) PET SALEM RADIOLOGY 23 STILES RD DBA SALEM RADIOLOGY 411 MERRIMACK ST DBA SALEM RADIOLOGY 565 TURNPIKE STSTE 87 DBA SALEM RADIOLOGY SALEM NH (603) MRI, CT METHEUN MA (603) MRI, CT NORTH ANDOVER MA (603) MRI, CT 23 STILES RD SALEM NH (603) MRI, CT 411 MERRIMACK ST METHUEN MA (603) MRI, CT 565 TURNPIKE ST N. ANDOVER MA (978) MRI, CT Shields MRI at Cape Cod Hospital and Shields MRI Wellesley are not Tier 1 facilities. Please note, the services at these locations will be subject to the highest level copay applicable. SHIELDS BAYSTATE MRI & IMAGING 80 WASON AVE DBA/SHIELDS BAYSTATE MRI & IMA 85 SOUTH ST DBA/SHIELDS BAYSTATE MRI & IMA SHIELDS CAPE COD PET/CT SERVICES 525 LONG POND DR DBA/SHIELDS CAPE COD PET/CT SE 2 JAN SEBASTIAN DR DBA/SHIELDS CAPE COD PET/CT SE SHIELDS FRANKLIN MRI CENTER 164 HIGH ST DBA SHIELDS FRANKLIN MRI CTR SHIELDS IMAGING - DEDHAM 40 ALLIED DR STE 112 DBA SHIELDS IMAGING - DEDHAM SHIELDS IMAGING OF LOWELL GEN SPRINGFIELD MA (413) MRI, PET WARE MA (413) MRI HARWICH MA (866) PET SANDWICH MA (866) PET GREENFIELD MA (413) MRI DEDHAM MA (781) MRI 10 RESEARCH PLACE N CHELMSFORD MA (978) MRI 1 HOSPITAL DR LOWELL MA (978) MRI 295 VARNUM AVE LOWELL MA (978) MRI 55 CHRISTY DR BROCKTON MA (800) MRI

6 Freestanding High-Tech Imaging Centers SERVICES SHIELDS MRI & IMAGING CENTER O 2 IYANOUGH RD DBA/SHIELDS MRI & IMAGING CTR SHIELDS MRI & IMAGING CTR 55 FOGG RD DBA/SHIELDS MRI & IMAGING CTR SHIELDS MRI AT UMASS MEMORIAL 55 LAKE AVE N STE H1713 DBA SHIELDS MRI AT UMASS MEMOR 700 CONGRESS ST STE 204 DBA SHIELDS MRI AT UMASS MEMOR SHIELDS MRI BOSTON 161 GRANITE AVENUE DBA SHIELDS MRI BOSTON 385 WESTERN AVE DBA/SHIELDS MRI BOSTON SHIELDS MRI DARTMOUTH 313 FAUNCE CORNER RD DBA SHIELDS MRI DARTMOUTH SHIELDS MRI OF BROCKTON 265 WESTGATE DR DBA/SHIELDS MRI OF BROCKTON SHIELDS MRI OF FRAMINGHAM YARMOUTH MA (800) MRI SOUTH WEYMOUTH MA (800) PET WORCESTER MA (508) MRI QUINCY MA (508) MRI DORCHESTER MA (617) MRI BRIGHTON MA (617) MRI NORTH DARTMOUTH MA (508) MRI BROCKTON MA (508) MRI 14 COCHITUATE RD FRAMINGHAM MA (508) MRI SHIELDS MRI ST LUKE S HOSPITAL 361 ALLEN ST DBA SHIELDS MRI ST LUKE S HOSP SHIELDS MRI WEYMOUTH 26 ROCKWAY AVE DBA/SHIELDS MRI WEYMOUTH SHIELDS UMASS MEMORIAL HEALTH 100 HOSPITAL RD DBA SHIELDS UMASS MEMORIAL HEA 275 NICHOLS RD DBA SHIELDS UMASS MEMORIAL HEA SHIELDS UMASS MEMORIAL MRI & I NEW BEDFORD MA (508) MRI WEYMOUTH MA (781) MRI LEOMINSTER MA (978) MRI FITCHBURG MA (978) MRI 28 NEWTON ST SOUTHBORO MA (508) MRI SHIELDS UMASS MEMORIAL MRI CTR 119 BELMONT ST DBA SHIELDS UMASS MEMORIAL MRI 40 WRIGHT ST DBA SHIELDS UMASS MEMORIAL MRI 214 SHREWSBURY ST DBA SHIELDS UMASS MEMORIAL MRI 275 NICHOLS RD DBA SHIELDS UMASS MEMORIAL MRI WORCESTER MA (508) MRI PALMER MA (800) MRI WORCESTER MA (508) PET FITCHBURG MA (508) PET

7 Freestanding High-Tech Imaging Centers SERVICES SHIELDS UMASS MEMORIAL MRI-MAR 157 UNION ST DBA SHIELDS UMASS MEMORIAL MRI STEWARD PET IMAGING LLC 535 FAUNCE CORNER RD AT HAWTHORN MEDICAL ASSOCIATES MARLBOROUGH MA (508) MRI DARTMOUTH MA (877) PET 200 GROTON RD AYER MA (877) PET 115 WEST SILVER ST AT NOBLE HOSPITAL 30 LOCUST ST AT COOLEY DICKINSON HOSPITAL 795 MIDDLE ST AT STEWARD ST ANNE S HOSPITAL 2100 DORCHESTER AVE AT STEWARD CARNEY HOSPITAL WESTFIELD MA (877) PET NORTHAMPTON MA (877) PET FALL RIVER MA (888) PET DORCHESTER MA (877) PET 199 REEDSDALE RD MILTON MA (877) PET 736 CAMBRIDGE ST STEWARD ST ELIZABETH S MEDICAL 70 WALNUT ST AT STEWARD NORWOOD HOSPITAL 575 BEECH ST AT HOLYOKE MEDICAL CENTER 235 NORTH PEARL ST AT STEWARD GOOD SAMARITAN MED THE IMAGING INSTITUTE INC BRIGHTON MA (617) PET FOXBORO MA (508) PET HOLYOKE MA (877) PET BROCKTON MA (508) PET 1500 MINERAL SPRING AVE NORTH PROVIDENCE RI (401) MRI, CT 725 RESERVOIR AVE CRANSTON RI (401) MRI, CT UMASS MEMORIAL MRI AND IMAGING 214 SHREWSBURY ST WORCESTER MA (800) MRI WEST SUBURBAN IMAGING CENTER 366 WASHINGTON ST DBA WEST SUBURBAN IMAGING CTR WESTERN MASS M-R SERVICES, INC 2033 MAIN ST ATHOL MEMORIAL HOSP WINCHESTER HOSPITAL - SHIELDS WELLESLEY HILLS MA (781) MRI, CT ATHOL MA (800) MRI 200 UNICORN PARK, STE 402 WOBURN MA (781) MRI

8 Freestanding Outpatient Surgery Centers PROVIDER BAYSIDE ENDOSCOPY CENTER LLC 33 STANIFORD ST, 1ST FL PROVIDENCE RI (401) BEDFORD AMBULATORY SURG CTR 11 WASHINGTON PLACE BEDFORD NH (603) BERKSHIRE COSMETIC & RECONSTRU 426 SOUTH ST PITTSFIELD MA (413) BERKSHIRE ENDOSCOPY CENTER LLC 53 EAGLE STREET 3RD FL PITTSFIELD MA (413) BLACKSTONE VALLEY SURGICARE 1526 ATWOOD AVE, STE 300 JOHNSTON RI (401) BOSTON ENDOSCOPY CENTER, LLC 175 WORCESTER ST WELLESLEY HILLS MA (617) BOSTON EYE SURGERY & LASER CTR 52 SECOND AVE, STE 2500 WALTHAM MA (781) STANIFORD ST, LOBBY LEVEL BOSTON MA (617) BOSTON OUT-PATIENT SURGICAL SU 840 WINTER ST WALTHAM MA (781) BOSTON SURGERY CENTER LLC 85 FIRST AVE WALTHAM MA (781) BOSTON UNIVERSITY EYE ASSOC,IN 90 NEW STATE HWY RT 44 RAYNHAM MA (508) CANDESCENT EYE HEALTH SURGICEN 51 STATE RD DARTMOUTH MA (508) CAPE AND ISLANDS ENDOSCOPY CTR 700 ATTUCKS LN, STE 1B HYANNIS MA (508) CAPE COD ASC LLC 280 HERITAGE PARK, RT. 130 SANDWICH MA (508) CAPE COD EYE SURGERY AND LASER 282 RTE 130 SANDWICH MA (508) CATARACT & LASER CENTER ASSCO. 1 BERKSHIRE SQUARE, SUITE 110 ADAMS MA (413) CATARACT & LASER CENTER NORTH 349 NORTH MAIN ST ANDOVER MA (978) CATARACT & LASER CENTER WEST 171 INTERSTATE DR WEST SPRINGFIELD MA (413) CATARACT & LASER CENTER,INC. 333 ELM STREET DEDHAM MA (781) CATARACT & LASER CTR CENTRAL 95 MECHANIC ST GARDNER MA (978) CENTERS FOR PAIN SOLUTIONS 280 MAIN ST NASHUA NH (603) CENTRAL MASS AMBULATORY ENDOSC 105 ERDMAN WAY LEOMINSTER MA (781) CHARLES RIVER ENDOSCOPY LLC 571 UNION AVE, 2ND FL FRAMINGHAM MA (508) COMMONWEALTH ENDOSCOPY CENTER 120 WEST CENTER ST DBA/COMMONWEALTH ENDOSCOPY CTR WEST BRIDGEWATER MA (508) DARTMOUTH-HITCHCOCK CLINIC 100 HITCHCOCK WAY MANCHESTER NH (603) DHA ENDOSCOPY LLC 91 MONTVALE AVE STONEHAM MA (781) DUDLEY STREET OPERATORY 2 DUDLEY ST, STE 200 PROVIDENCE RI (401) EAST BAY ENDOSCOPY CENTER LLC 109 CLOCK TOWER SQUARE PORTSMOUTH RI (401) EAST BAY SURGERY CENTER LLC 440 SWANSEA MALL DR SWANSEA MA (508) EAST GREENWICH ENDOSCOPY CENTE 1407 SOUTH COUNTY TRAIL BLDG 4 STE 411 EAST GREENWICH RI (401) EAST POND ENTERPRISES INC 40 INDUSTRIAL PARK RD PLYMOUTH MA (508)

9 Freestanding Outpatient Surgery Centers PROVIDER EASTERN MASS SURGERY CTR LLC 100 MORSE ST NORWOOD MA (781) ELLIOT ONE-DAY SURGERY CENTER 185 QUEEN CITY AVE MANCHESTER NH (603) ENT CENTER OF RHODE ISLAND 55 LAMBERT LIND HWY WARWICK RI (401) FOUR WOMEN HEALTH SERVICES, LL 150 EMORY ST ATTLEBORO MA (508) GREATER NEW BEDFORD SURGICENTR 51 STATE ROAD NORTH DARTMOUTH MA (508) HAWTHORN AMBULATORY SERVICES 535 FAUNCE CORNER RD DBA HAWTHORN AMBULATORY SERVIC NORTH DARTMOUTH MA (508) HYDE PARK PAIN MANAGEMENT 188 PROVIDENCE ST HYDE PARK MA (617) MIDDLESEX DIGESTIVE HEALTH 45A DISCOVERY WAY DBA MIDDLESEX DIGESTIVE HEALTH ACTON MA (978) NASHUA EYE SURGERY CENTER 5 COLISEUM DR NASHUA NH (603) NEW ENGLAND AMBULATORY SURG CT 799 CONCORD AVE CAMBRIDGE MA (617) NEW ENGLAND EYE SURGICAL CENTE 696 MAIN ST SOUTH WEYMOUTH MA (781) NEW ENGLAND PAIN ASSOCIATES 100 MARTIN LUTHER KING JR BLVD, 2ND FL WORCESTER MA (508) JOHN A CUMMINGS WAY WOONSOCKET RI (401) NEW ENGLAND PAIN CARE, INC. 10 CENTENNIAL DRIVE PEABODY MA (978) NEW ENGLAND SCOPE 630 PLANTATION ST WORCESTER MA (508) NEW ENGLAND SURGERY CENTER NH EYE SURGICENTER 900 CUMMINGS CENTER STE 122U 105 RIVERWAY PL DBA NH EYE SURGICENTER BEVERLY MA (978) BEDFORD NH (603) NORTH SHORE CATARACT & LASER 91 MONTVALE AVE STONEHAM MA (781) NORTHEAST AMBULATORY CENTER 3 WOODLAND RD, STE 321 STONEHAM MA (781) NORTHEAST ENDOSCOPY CENTER LLC 59 COMPOSITE WAY LOWELL MA (978) OCEAN STATE ENDOSCOPY CENTER 148 WEST RIVER ST STE 3 DBA OCEAN STATE ENDOSCOPY CENT PROVIDENCE RI (401) ORTHOPEDIC CARE SURGERY CENTER 15 ROCHE BROS WAY, STE 210 NORTH EASTON MA (781) ORTHOPEDIC SURGICAL CTR OF THE NORTH SHORE LLC 1 ORTHOPEDIC DR PEABODY MA (978) PEABODY SURGERY CENTER, LLC 7 FIRST AVE PEABODY MA (978) PIONEER VALLEY SURGICENTER, LL 3550 MAIN ST, STE 103 SPRINGFIELD MA (413) PLYMOUTH LASER & SURGICAL 40 INDUSTRIAL PARK RD DBA PLYMOUTH LASER & SURGICAL PLYMOUTH MA (508)

10 Freestanding Outpatient Surgery Centers PROVIDER SALEM SURGERY CENTER 32 STILES RD SALEM NH (603) SAME DAY SURGICLINIC SEE NEW ENGLAND 272 STANLEY ST DBA SAME DAY SURGICLINIC 385 GROVE ST DBA SEE NEW ENGLAND FALL RIVER MA (508) WORCESTER MA (508) SOUTH SHORE ENDOSCOPY CENTER 659 WASHINGTON ST STE 2 BRAINTREE MA (781) SOUTHERN NEW ENGLAND SURGERY SPINE INSTITUTE OF NEW ENGLAND 738 WASHINGTON ST DBA SOUTHERN NEW ENG SURG CTR 55 SAINT GEORGE RD DBA SPINE INSTITUTE OF NE ATTLEBORO MA (508) SPRINGFIELD MA (413) ST JAMES SURGERY CENTER 444 QUAKER LANE WARWICK RI (401) SURGERY CENTER OF WALTHAM SURGISITE BOSTON 130 SECOND AVE DBA SURGERY CENTER OF WALTHAM 1440 MAIN ST DBA SURGISITE BOSTON WALTHAM MA (781) WALTHAM MA (781) THE CATARACT SURG CTR OF MILFO 145 WEST ST MILFORD MA (508) THE ENDOSCOPY CENTER OF BROOKL THE ENDOSCOPY CENTER OF SE MA 930 COMMONWEALTH AVE SOUTH DBA THE ENDOSCOPY CENTER OF BR ONE PEARL STREET, SUITE 1800 BOSTON MA (617) BROCKTON MA (508) UROLOGICAL SPECIALISTS OF NE 207 QUAKER LN, 1ST FL WEST WARWICK RI (401) VALLEY MEDICAL GRP AMBULATORY WEST RIVER ENDOSCOPY 31 HALL RD DBA VALLEY MEDICAL GRP AMBULAT 44 WEST RIVER ST 1ST FL DBA WEST RIVER ENDOSCOPY AMHERST MA (413) PROVIDENCE RI (401) WEYMOUTH ENDOSCOPY LLC 1085 MAIN ST SOUTH WEYMOUTH MA (781) WOMENS MEDICAL CENTER OF RI 1725 BROAD ST CRANSTON RI (401) WORCESTER SURGICAL CENTER 300 GROVE ST DBA WORCESTER SURGICAL CENTER WORCESTER MA (508)

11 AMBRY GENETICS CORPORATION 15 ARGONAUT ALISO VIEJO CA (949) AMERICAN INTERNATIONAL BIOTECH 601 BIOTECH AVE RICHMOND VA (804) AMERIPATH CLEVELAND INC 7730 FIRST PL, STE A OAKWOOD VILLAGE OH (866) AMERIPATH NEW YORK LLC 110 HOPEMEADOW ST WEATOGUE CT (866) FORBES RD, STE 260E BRAINTREE MA (866) HOPMEADOW ST WEATOGUE CT (860) WACHUSETT RD NEEDHAM MA (617) HOPMEADOW ST WEATOGUE CT (866) HOPMEADOW ST WEATOGUE CT (866) AMERITOX LTD 486 GALLIMORE DAIRY RD GREENSBORO NC (336) W HWY 80 MIDLAND TX (866) ARUP LABORATORIES INC 500 CHIPETA WAY SALT LAKE CITY UT (801) BAKOTIC PATHOLOGY ASSOCIATES 2001 WESTSIDE PKWY ALPHARETTA GA BAYSTATE REFERENCE LABORATORY 118 CONZ ST PIONEEER VALLEY FAMILY PRACT 125 LIBERTY ST BASEMENT LEVEL LIBERTY MEDICAL ARTS BLDG 222 CAREW ST FIRST FL CAREW MEDICAL BLDG NORTHAMPTON MA (413) SPRINGFIELD MA (413) SPRINGFIELD MA (413) BOSTON RD SECOND FL WILBRAHAM MA (413) C COTTAGE ST AMHERST FAMILY PRACTICE 3300 MAIN ST OUTPATIENT TESTING LAB AMBULAT 46 DAGGETT DR THIRD FL DAGGETT PL 470 GRANBY RD THE RAYMOND CTR 48 SANDERSON ST GREENFIELD OUTPATIENT LAB 65 SPRINGFIELD RD GROUND FL PIONEER VALLEY PROFESSIONAL 759 CHESTNUT ST G-LEVEL WOMEN AND INFANTS BLDG AMHERST MA (413) SPRINGFIELD MA (413) WEST SPRINGFIELD MA (413) SOUTH HADLEY MA (413) GREENFIELD MA (413) WESTFIELD MA (413) SPRINGFIELD MA (413)

12 BAYSTATE REFERENCE LABORATORY (continued) 85 SOUTH ST FIRST FL MARY LANE HOSPITAL LAB 95 SARGENT ST MARY LANE OUTPATIENT LAB BAYSTATE MEDICAL CTR C-LEVEL OUTPATIENT LAB WMU BIOTHERANOSTICS INC WARE MA (413) BELCHERTOWN MA (413) SPRINGFIELD MA (413) TOWNE CENTRE DR, STE 200 SAN DIEGO CA (888) BOSTON CLINICAL LABS INC 764A MAIN ST WALTHAM MA (781) BOSTON FERTILITY LABS 130 SECOND AVE BOSTON FERTILITY LABS WALTHAM MA (781) HURON DR NATICK MA (508) ONE BROOKLINE PL BROOKLINE MA (617) BOSTON HEART DIAGNOSTICS CORPO 175 CROSSING BLVD, STE 550 FRAMINGHAM MA (508) BOSTWICK LABORATORIES INC 7001 LAKE ELLENOR DR ORLANDO FL (407) CHARLES LINDBERGH BLVD UNIONDALE NY (516) INNSLAKE DR GLEN ALLEN VA (804) LAKE BROOK DR GLEN ALLEN VA (804) LAKE ELLENOR DR ORLANDO FL (407) REMCON CIRCLE, STE J EL PASO TX COLESVILLE RD STE 1600 DBA/AMERICAN INTERNATIONAL PAT CALLOWAY LABORATORIES, INC SILVER SPRING MD (877) COMMERCE WAY WOBURN MA (888) CAPE ANN MEDICAL CENTER LAB 1 BLACKBURN DR GLOUCESTER MA (978) CENTER FOR HUMAN GENETICS, INC 840 MEMORIAL DR STE 101 RIVERSIDE TECHNOLOGY CENTER CHARLES RIVER MEDICAL ASSOCIAT CAMBRIDGE MA (617) UNION AVE FRAMINGHAM MA (508) CHILDHOOD LEAD SCREENING LAB 305 SOUTH ST MASSACHUSETTS DEPT OF PUBLIC H CLINICAL SCIENCE LAB 51 FRANCIS AVE PO BOX 347 DBA CLINICAL SCIENCE LAB BOSTON MA (617) MANSFIELD MA (800)

13 COASTAL MEDICAL LABORATORY 1075 SMITH ST PROVIDENCE RI (401) SOUTH COUNTY TRAIL, BLDG 3 EAST GREENWICH RI ATWOOD AVE, EASTSIDE CLINICAL LAB JOHNSTON RI RESERVOIR AVE, CALART BLDG CRANSTON RI SANDERSON RD - STE 107, SMITHFIELD MEDICAL BLDG SMITHFIELD RI VETERANS MEMORIAL PKWY, BLDG 6 EAST PROVIDENCE RI BLACKSTONE VALLEY PLAZA, STE 701 LINCOLN RI KENYON AVE - 3RD FL, STE 321 WAKEFIELD RI AQUIDNECK AVE MIDDLETOWN RI WARREN AVE, STE 100 EAST PROVIDENCE RI COHEN DERMATOPATHOLOGY 320 NEEDHAM STREET, STE 200 NEWTON MA (617) COUNSYL 180 KIMBALL WAY S SAN FRANCISCO CA (650) BRIDGE PKWY, STE 103 REDWOOD CITY CA (650) CYTODX 200 CORPORATE PL STE 7, DBA CYTODX PEABODY MA (866) ISLAND POND RD, DBA CYTODX ATKINSON NH (603) LEXINGTON ST, DBA CYTODX WALTHAM MA (781) DUNNING ST, DBA CYTODX CLAREMONT NH (603) DIAGNOSTIC LABORATORY MEDICINE 1 COURTHOUSE LN, STE 13/15 CHELMSFORD MA (978) PLEASANT ST BROCKTON MA (508) EVERETT AVE CHELSEA MA (617) BEACON ST BROOKLINE MA (617) WORCESTER AVE FRAMINGHAM MA (508) CROSBY DR BEDFORD MA (781) BROADWAY EVERETT MA (617) E MERRIMACK ST LOWELL MA (978) MERRIMACK ST, STE 6A LOWELL MA (978) DIANON SYSTEMS 1 FOREST PKWY SHELTON CT (800) FOREST PKWY SHELTON CT (800) RESEARCH PKWY, 4TH FL OKLAHOMA CITY OK (405) DISCOVERY DIAGNOSTIC LABORATOR 1717 MAIN ST, STE 4 BROCKTON MA (617) CEDAR HILL ST MARLBOROUGH MA (617)

14 DOMINION DIAGNOSTICS 211 CIRCUIT ROAD NORTH KINGSTOWN RI (401) EAST SIDE CLINICAL LABORATORY 10 RISHO AVE ATTENTION: HAROLD CALDERONE EAST PROVIDENCE RI (401) BROAD ST CENTRAL FALLS RI (401) HOPE ST BRISTOL RI (401) DUDLEY ST PROVIDENCE RI (401) EMORY ST ATTLEBORO MA (508) SMITH ST NORTH PROVIDENCE RI (401) ATWOOD AVE JOHNSTON RI (401) NATE WHIPPLE CUMBERLAND RI (401) SOCIAL ST WOONSOCKET RI (401) WILLETT AVE RIVERSIDE RI (401) FIELD ST NEW BEDFORD MA (508) SALT POND RD SOUTH KINGSTOWN RI (401) CEDAR SWAMP SMITHFIELD RI (401) MAPLE AVE BARRINGTON RI (401) WAKE ROBIN RD LINCOLN RI (401) PHILLIPS ST NORTH KINGSTOWN RI (401) DANIELSON PIKE NORTH SCITUATE RI (401) KINGSTOWN RD NARRAGANSETT RI (401) WASHINGTON ST WEST WARWICK RI (401) WEST SHORE RD WARWICK RI (401) HIGHLAND AVE FALL RIVER MA (508) POST RD EAST GREENWICH RI (401) PUTNAM PIKE GREENVILLE RI (401) EDDY DOWLING NORTH SMITHFIELD RI (401) AQUIDNECK AVE MIDDLETOWN RI (401) SANDY BOTTOM RD COVENTRY RI (401) EAST AVE PAWTUCKET RI (401) SOCKONOSETT CROSSROAD CRANSTON RI (401) BEACH ST WESTERLY RI (401) MAIN RD TIVERTON RI (401) MAIN ST WARREN RI (401) POST RD WARWICK RI (401) PLEASANT ST PROVIDENCE RI (401) NORTH MAIN ST PROVIDENCE RI (401)

15 ENDOCHOICE PATHOLOGY OLD ROSWELL RD STE 100 DBA ENDOCHOICE PATHOLOGY ESOTERIX GENETIC LABORATORIES ALPHARETTA GA (888) COMPUTER DR, ATT: CONTRACT ADMINISTRATION WESTBOROUGH MA (800) COMPUTER DR WESTBOROUGH MA (800) VIVIGEN WAY SANTA FE NM (800) WEST 57TH ST, 6TH FL NEW YORK NY (800) OLD COURTHOUSE RD, STE 240 VIENNA VA (800) TAMPA OAKS BLVD, STE 300 TEMPLE TERRACE FL (800) S SEPULVEDA BLVD, STE 100 LOS ANGELES CA (800) MCCONNELL AVE LOS ANGELES CA (800) WEST TOWN AND COUNTY RD ORANGE CA (800) E HUNTINGTON DR MONROVIA CA (800) EAST COTTON CTR BLVD, STE 210 PHOENIX AZ (800) ESOTERIX INC 4509 FREIDRICH LN, BLDG 1 STE 100 AUSTIN TX (866) FRANEY MEDICAL LABS, INC 52 MERCANTILE WAY MASHPEE MA (508) GENOMIC HEALTH INC 301 PENOBSCOT DR REDWOOD CITY CA (866) GOOD START GENETICS 237 PUTNAM AVE CAMBRIDGE MA (617) HARBOR MEDICAL LABORATORY 101 COLUMBIAN ST STE 302 DBA PHYSICIANS DIAGNOSTICS LAB SOUTH WEYMOUTH MA CHURCH ST BRIGANTINE, VILLAGE PEMBROKE MA (781) QUINCY ST BROCKTON MA (508) DRIFTWAY SCITUATE MA (781) CHIEF JUSTICE CUSHING HWY COHASSET MA (781) HOME HEALTHCARE LABORATORY OF AMERICA 320 PREMIER COURT SUITE 220 FRANKLIN TN (615) IMUGEN INC 315 NORWOOD PARK SOUTH NORWOOD MA (781) INSTITUTE FOR DERMATOPATHOLOGY 3805 WEST CHESTER PKE, BLDG D STE 120 NEWTON SQUARE PA (800) LABORATORY CORP OF AMERICA 100 HIGHLAND AVE, STE 302 PROVIDENCE RI (401) RIVERWAY PL BEDFORD NH (603) LIBERTY ST, RTE 58 HANSON MA (781) BRAMBLEBUSH DR FALMOUTH MA (774)

16 LABORATORY CORP OF AMERICA (continued) 121 LINCOLN ST WORCESTER MA (508) WEST BOYLSTON DR WORCESTER MA (508) CENTRE ST, STE 208 NEWTON MA (617) MASSASOIT RD WORCESTER MA (508) GRIFFIN RD PORTSMOUTH NH (603) HAMPTON RD STE 13, EXETER EXECUTIVE PARK EXETER NH (603) WORCESTER CTR BLVD WORCESTER MA (508) SUTTON ST, STE 135 NORTH ANDOVER MA (978) MERRIMACK ST, STE 205 HAVERHILL MA (978) MAIN ST SALEM NH (603) RTE 108 BARCLAY SQ, UNIT 101 SOMERSWORTH NH (603) MERRIMACK ST, STE B2 METHUEN MA (978) WINTER ST ROCHESTER NH (603) BLACKSTON VALLEY PL, STE 707 LINCOLN RI (401) CAMP AVE, STE 3 HYANNIS MA (508) LAKE AVE MANCHESTER NH (603) RODGERS ST, RTE 38 LOWELL MA (978) CUDWORTH RD WEBSTER MA (508) CENTRAL AVE, CENTRAL COMMONS DOVER NH (603) AIRLINE DR SOUTH DENNIS MA (508) PARK ST, STE B-7 STOUGHTON MA (781) E WATKINS, STE 300 PHOENIX AZ (602) PATROON CREEK BLVD, STE 101 ALBANY NY (800) UPLAND DR ENGLEWOOD CO (800) EVENING CREEK DR SO, STE 200 SAN DIEGO CA (858) CHARLES LINDBERGH BLVD UNIONDALE NY (516) PARK CENTER RD HERNDON VA (703) FOREST LN, STE 350C DALLAS TX (972) FIRST PARK TEN BLVD SAN ANTONIO TX (210) TH AVE, STE 300 SEATTLE WA (206) NORTH GESSNER HOUSTON TX (713) ALEXANDER DR RESEARCH TRIANGL NC (800) N CORRINGTON AVE KANSAS CITY MO (800) W LASALLE ST TAMPA FL (800) SUMMER ST WORCESTER MA (603) FIRST AVE RARITAN NJ (908) YORK CT BURLINGTON NC (800) HERITAGE AVE PORTSMOUTH NH (603) WILCOX RD DUBLIN OH (800)

17 LABORATORY CORP OF AMERICA (continued) 1801 FIST AVE SO BIRMINGHAM AL (205) ZIONSVILLE RD, STE 450 INDIANAPOLIS IN (800) PLEASANT ST BROCKTON MA (508) HIGHLAND AVE, STE 302 PROVIDENCE RI (401) RIVERWAY PL BEDFORD NH (603) LIBERTY ST HANSON MA (781) LINCOLN ST WORCESTER MA (508) WEST BOYLSTON DR WORCESTER MA (508) CENTRE ST, STE 208 NEWTON MA (617) GRIFFIN RD PORTSMOUTH NH (603) HAMPTON RD STE 13, EXETER EXECUTIVE PARK EXETER NH (603) WORCESTER CTR BLVD WORCESTER MA (508) SUMMER ST, STE 14 HAVERHILL MA (978) SUTTON ST, STE 135 NORTH ANDOVER MA (978) PROSPECT PLAINS RD, STE A102 MONROE NJ MAIN ST SALEM NH (603) RTE 108 BARCLAY SQ, UNIT 101 SOMERSWORTH NH (603) MERRIMACK ST, STE B2 METHUEN MA (978) WINTER ST ROCHESTER NH (603) BLACKSTONE VALLEY PL, STE 707 LINCOLN RI (401) CAMP AVE, STE 3 HYANNIS MA (508) LAKE AVE MANCHESTER NH (603) RODGERS ST, RTE 38 LOWELL MA (978) CUDWORTH RD WEBSTER MA (508) CENTRAL AVE, CENTRAL COMMONS DOVER NH (603) AIRLINE DR SOUTH DENNIS MA (508) PARK ST, STE B-7 STOUGHTON MA (781) LABUSA INC 108R MERRIMACK ST HAVERHILL MA (978) LIFE LABORATORIES, INC 1233 MAIN ST DBA LIFE LABORATORIES 299 CAREW ST DBA LIFE LABORATORIES LITHOLINK CORP HOLYOKE MA (413) SPRINGFIELD MA (413) W CAMPBELL PARK DR CHICAGO IL (203) MEDICAL DIAGNOSTICS LAB 2439 KUSER RD HAMILTON NJ (877)

18 MEDTOX LABORATORIES 402 WEST COUNTY RD D SAINT PAUL MN (800) NW 5830, PO BOX 1450 MINNEAPOLIS MN (800) MILLENNIUM LABORATORIES LLC VIA TAZON SAN DIEGO CA (858) MYRIAD GENETIC LABORATORIES 320 WAKARA WAY SALT LAKE CITY UT (801) NEW ENGLAND PATHOLOGY-LAB ONLY 222 CAREW STREET SPRINGFIELD MA (413) CAREW STREET SPRINGFIELD MA (413) PENTUCKET MEDICAL ASSOCIATES ONE PARKWAY HAVERHILL MA (978) PERKINELMER LABORATORIES INC 80 RULAND ROAD, SUITE 1 MELVILLE NY (631) PMG PHYSICIAN ASSOC PC-LAB 10 CORDAGE PARK CIRCLE STE 218 PLYMOUTH MA (508) SANDWICH ST PLYMOUTH MA (508) PRECISION TESTING LABORATORIES 79 NORTH ST SOUTHBRIDGE MA (774) QUEST DIAGNOSTICS MASSACHUSETT ONE BIOTECH PK, 365 PLANTATION ST WORCESTER MA (508) QUEST DIAGNOSTICS, INC 1 BROOKLINE PL, STE 301 BROOKLINE MA (617) WINTHROP ST WORCESTER MA (508) CENTRAL ST WORCESTER MA (508) HIGHLAND AVE, STE 305 PROVIDENCE RI (401) HOSPITAL RD, STE 2-C LEOMINSTER MA (978) PLEASANT ST BROCKTON MA (508) MAIN ST WAREHAM MA (508) BEACON ST, 1 WEST BROOKLINE MA (617) BRAMBLEBUSH PARK FALMOUTH MA (508) DWIGHT RD LONGMEADOW MA (413) WEBSTER ST HANOVER MA (781) HIGH ST LANCASTER MA (978) HAVERHILL ST ANDOVER MA (978) COMMONWEALTH AVE DANVERS MA (978) RTE 39, SECOND FL STE 102 HARWICH MA (508) MAIN ST, # 6 WALPOLE MA (508) MAIN ST TEWKSBURY MA (978) NONOTUCK ST FLORENCE MA (413)

19 QUEST DIAGNOSTICS, INC (continued) 195 MACGREGOR ST, CENTER ENTRANCE MANCHESTER NH (603) GRIFFIN RD, UNIT 12 PORTSMOUTH NH (603) CLARK WAY, RTE 108 SOMERSWORTH NH (603) SCHOOL ST QUINCY MA (617) MARKET ST ROCKLAND MA (781) TOLLGATE RD, STE 102 WARWICK RI (401) BOSTON RD, STE 1 BILLERICA MA (978) CHIEF JUSTICE HWY, LOWER LEVEL 3 COHASSET MA (781) QUINCY AVE BROCKTON MA (508) WEST BAY RD OSTERVILLE MA (508) COMMON ST WRENTHAM MA (508) PLEASANT ST CONCORD NH (603) CAMBRIDGE ST BURLINGTON MA (781) SCHOOL ST PAWTUCKET RI (401) WOOD RD BRAINTREE MA (781) PEARL ST BURLINGTON VT (802) VILLAGE SQUARE CHELMSFORD MA (978) MASSACHUSETTS AVE CAMBRIDGE MA (617) SUMMER ST PITTSFIELD MA (413) MERRIMACK ST METHUEN MA (978) STILES RD, UNIT 102 SALEM NH (603) VETERANS MEMORIAL PKWY, BLDG 8 PROVIDENCE RI STATE RD, PEQUOT BLDG STE 202 NORTH DARTMOUTH MA (508) TREMONT ST MELROSE MA (781) MAIN ST, MAIN ST MED BLDG HYANNIS MA (508) TURNPIKE ST, RTE 114 STE 71A NORTH ANDOVER MA (978) MT AUBURN ST CAMBRIDGE MA (617) BUTTRICK RD, STE 200 LONDONDERRY NH (603) TSIENNETO RD, STE LL102 DERRY NH (603) WORCESTER RD, RTE 9 LL1 FRAMINGHAM MA (508) NORTH MAIN ST ATTLEBORO MA (508) CAMBRIDGE ST, STE 105 BRIGHTON MA (617) HAVILAND ST, FENWAY HEALTH CENTER BOSTON MA (617) NEW DRIFTWAY, STE 5 SCITUATE MA (781) WALNUT ST FOXBORO MA (508) PLEASANT ST SOUTH WEYMOUTH MA (781) SUMMER ST, STE 232 FITCHBURG MA (978) CHESTNUT ST SPRINGFIELD MA (413) BURNHAM ST TURNERS FALLS MA (413)

20 QUEST DIAGNOSTICS, INC (continued) 81 OLD COLONY WAY ORLEANS MA (508) WASHINGTON ST, GUILD MED BUILDING STE 140 NORWOOD MA (781) ATWOOD AVE JOHNSTON RI TOLLGATE RD, STE 102 WARWICK RI STERLING DR WALLINGFORD CT (203) SCHOOL ST PAWTUCKET RI SUMMER ST PITTSFIELD MA (413) VETERANS MEMORIAL PKWY, BLDG 8 EAST PROVIDENCE RI MEMORIAL BLVD NEWPORT RI RELIANT MEDICAL GROUP-LABORATO 106 EAST MAIN STREET WESTBOROUGH MA (508) MILL STREET LEOMINSTER MA (978) WEST STREET MILFORD MA (508) MAY STREET WORCESTER MA (508) SOUTHBRIDGE ROAD CHARLTON MA (508) WORCESTER CENTER BOULEVARD WORCESTER MA (508) SHREWSBURY STREET HOLDEN MA (508) THOMPSON ROAD WEBSTER MA (508) LUNENBERG STREET FITCHBURG MA (978) MAIN STREET SPENCER MA (508) PLANTATION STREET WORCESTER MA (508) HALL ROAD STURBRIDGE MA (508) ELM STREET MILLBURY MA (508) REPROSOURCE FERTILITY DIAGNOST 300 TRADE CENTER, STE 6540 WOBURN MA (800) RESPONSE GENETICS, INC MARENGO ST STE 620 RHODE ISLAND BLOOD CENTER LOS ANGELES CA (800) WOODRUFF AVE NARRAGANSETT RI DIAMOND HILL RD, PAVILLION PLAZA WOONSOCKET RI BALD HILL RD WARWICK RI PROMENADE ST, DBA RHODE ISLAND BLOOD CTR PROVIDENCE RI (401) AQUIDNECK AVE, DBA RHODE ISLAND BLOOD CENTER MIDDLETOWN RI (401) RI DEPARTMENT OF HEALTH - LABO 50 ORMS ST, DBA RI DEPARTMENT OF HEALTH-LA PROVIDENCE RI (401) SECON OF NEW ENGLAND 415 MAIN STREET WORCESTER MA (508)