Siemens Medical Solutions USA Inc. of Malvern, Pa., an integrated health care company, has established a new training and service facility in Cary, N.C., to house more than 500 technical and administrative support personnel. To train in the use of medical equipment and technologies, customers will be able to utilize classroom, Web-based and virtual training resources. The six-story, 143,000-sq-ft office building is a $57 million project and is expected to open in 2010.