Carrier profile · USDOT 356932 · MC-220146 · FMCSA profile data as of Aug 16, 2026

Sierra Medical Services Alliance

DBA MED-EXPRESS TRANSPORT

0 power unitsRENO, NV50/100

CARRIER INACTIVEMC-220146 INACTIVE

Observed fleet · trailing 24 mo daily

0Power units

Self-reported · MCS-150

—Trailers seen

None observed · 24 mo

—Avg age (yr)

Not yet decoded

Call dispatch(775) 858-5700

Click to see how we scored it

Load decision · FMCSA profile data as of Aug 16, 2026

Limited record

Not enough federal record to assess. Verify authority and insurance directly.

Watch · 3

USDOT registration inactiveThe USDOT record is flagged inactive — the carrier may not be authorized to operate.No active operating authorityNo active common, contract, or broker authority is on file for a for-hire carrier.MCS-150 census data outdatedThe biennial MCS-150 update is 13.7 years old; fleet/mileage figures may be unreliable.

In good standing · 1

Established 37 yearsOperating authority has been on file since 1989.

USDOT registration

yr registered

No active authority

Insurance (BIPD)— unknown

No filing on record

Vehicle OOS · 24-mo—

No inspections · 24 mo

Crashes · fatal

No activity in window

Vektor intelligence · beyond the federal recordProprietary signals computed from VIN-decoded inspections & daily FMCSA snapshots

Fleet typeIdentity

Small fleet

0 power units. Brokers price each fleet type apart.

Fleet age vs peersDecoding

—

Not yet decoded

Identity stabilityStable

37 yr unchanged

Same registration since 1989 — no chameleon / reincarnation signal.

Cross-border activity

No border inspections on record

A named inspection location does not confirm a border transit or operating authority. Counts cover retained inspection records.

Safety

Roadside inspections, BASICs & crash history

FMCSA safety data as of Sep 3, 2026

Out-of-service rate· 24-mo cumulative

No roadside inspections on record.

Roadside inspection history· 24 charted calendar months · vehicle / driver level · any-OOS overlay

No roadside inspections on the FMCSA record in this window

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Authority & Insurance

Can they legally + adequately haul your load?

FMCSA authority & insurance data as of Aug 16, 2026

Operating authority· 49 CFR · per type

Operating authority

Common: Inactive
Contract: None
Broker: None

Insurance & bonds

BIPD filing (census)Not recorded per census

Cargo filing (census)Not recorded per census

Surety bond (census)Not recorded per census

Insurance continuity· insurer · policy · lapses

$5M BIPD last filed ’96 · 2 insurers · 0 lapsesContinuous

beyond this history

1994200220102018now

Shorter eras are too brief to label at this scale — all 3 insurers are named in the list below.

This timeline is the FMCSA filing history, and it ends at the most recent superseded filing — current policy status is not tracked here. Request a certificate of insurance to confirm active coverage before tendering.

All 3 insurer eras · dates, limits, renewals

Insurer	Period	Limit	Renewals
NATIONAL INDEMNITY COMPANY	Jun 1995 → Apr 1996	$5M	1
THE INSURANCE CO OF THE STATE OF PENNSYLVANIA	Jun 1994 → Jun 1995	$5M	1
NATIONAL INDEMNITY COMPANY	Jun 1994 → Jun 1995	$5M	1

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Equipment

VIN-decoded · NHTSA vPIC

FMCSA equipment data as of Sep 10, 2026

Capacity· power units = haulable capacity; trailers are towed

Registered power units (MCS-150): 0
Observed power (24 mo): —
Trailers (towed): —

Capacity is power units only — trailers are towed equipment and are never summed into a fleet-size figure.

Explore full fleet — VIN roster, equipment mix, age distribution

Operations & Lanes

Revealed by inspection density · 24 mo

FMCSA operations & lanes data as of Sep 17, 2026

Inspections by state· roadside inspections, last 24 mo

Home base

RENO, NV

450 EDISON WAY

See the full operating map — state density, top lanes

Network & Fraud

Affiliated entities & reincarnation signals · for review, not a verdict

FMCSA network & fraud data as of Sep 3, 2026

Shares a company officer with other carriers

patrick smith — 61 carriers: USDOT 653507 USDOT 698616 USDOT 1099034 USDOT 1167246 USDOT 1172013 USDOT 1283026 USDOT 1374577 USDOT 1504143

Explore the carrier network & VIN cross-links

Identity & Federal

FMCSA census + L&I dossier

FMCSA identity & federal data as of Sep 3, 2026

Location

Physical address: 450 EDISON WAY, RENO, NV, 89502
Mailing address: PO BOX 18920, RENO, NV, 89511
Operation: Interstate

Contact

Phone: (775) 858-5700
Fax: (775) 858-5726
Email: —

Registration

Officers: Patrick Smith · Klark Staffan
USDOT / docket: 356932 · MC-220146
First registered: Jun 9, 1989
Last MCS-150: Feb 7, 2013 · 120,000 mi (2012)
FMCSA safety rating: Not rated
D-U-N-S: 178594172

Fleet (self-reported · MCS-150)

—Power units

Drivers

—CDL drivers

120,000

Annual mileage

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Federal activity

Daily-captured FMCSA licensing & insurance changes — monitored by Vektor

FMCSA federal activity data as of Sep 3, 2026

Federal record activity· monitored daily by Vektor

No licensing or insurance changes captured since Vektor began monitoring this carrier (June 2026). Quiet is usually good.

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Reviews

Verified broker, shipper & driver reviews — moderated

Performance ratings only — never the Vektor risk score

No verified reviews yet

Be the first broker or shipper to rate SIERRA MEDICAL SERVICES ALLIANCE. Reviews cover performance only — on-time delivery, payment speed, communication — and never affect the Vektor risk score.

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Verification summaryAuthority, insurance, safety and identity facts for SIERRA MEDICAL SERVICES ALLIANCE.

SIERRA MEDICAL SERVICES ALLIANCE (USDOT 356932) is unrated by Vektor because the carrier's FMCSA record does not contain enough evidence for a safety score. FMCSA profile data as of Aug 16, 2026.

The carrier has no active for-hire operating authority per FMCSA L&I. FMCSA authority data as of Sep 3, 2026.

It has an unknown current BIPD insurance status because no FMCSA L&I active-filing snapshot is available. FMCSA insurance data as of Aug 16, 2026.

The carrier received 0 roadside inspections in the last 24 months — 0 vehicle-level and 0 driver-level, according to FMCSA roadside-inspection data. FMCSA operations data as of Sep 17, 2026.

The carrier has 0 reportable crashes in the last 24 months and 0 fatal crashes across the full FMCSA crash record available. FMCSA safety data as of Sep 17, 2026.

It reports 0 power units and 4 drivers in its most recent MCS-150 filing dated Feb 7, 2013. FMCSA identity data as of Sep 3, 2026.

It has no FMCSA-assigned safety rating in the federal record. FMCSA identity data as of Sep 3, 2026.

Frequently asked

What is SIERRA MEDICAL SERVICES ALLIANCE's USDOT number?

SIERRA MEDICAL SERVICES ALLIANCE's USDOT number is 356932, and its motor carrier number is MC-220146.

Is SIERRA MEDICAL SERVICES ALLIANCE authorized to operate?

FMCSA authority data as of Sep 3, 2026. SIERRA MEDICAL SERVICES ALLIANCE is inactive in the FMCSA register with common, contract, broker operating authority on file.